Ocean County Woman - March/April 2017 by The County Woman

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THE SALIVARY GLANDS

CAREGIVER CARE An elder law attorney can be instrumental in providing guidance from ensuring that the proper legal documents are in place to giving respite leads and suggestions.

Page 3

DO YOU SUFFER FROM MIGRAINES OR HEADACHES? ELIMINATE THEM TODAY.

If your muscles have to work overtime to properly align your bite, the result is likely to be in pain. Page 10

There are both major and minor salivary glands. Several different problems and disorders can involve these salivary glands.

For the fourth consecutive year, the doctors of University Urology Associates of New Jersey (UUANJ) have been recognized by fellow medical practitioners to be among the best urologists in the Garden State. Read more about their dedication and commitment to excellence on pages 19, 20 & 21.

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Photo By Tracy Harman Photography

Mar./Apr. 2017

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Medical Professionals

Getting To The “Core” Of Low Back Pain By Kathleen Groome, PTA of All-Care Physical Therapy Center, Brick, NJ • 732-451-0010 What is a “core?” Your abdominals, or “core” as some people like to call them, are actually a group of muscles known as the rectus abdominis, external and internal obliques, transverse abdominis, multifidi, diaphragm, and pelvic floor muscles. The easiest way to think of your core is to think of a box: the roof is the diaphragm, the walls are multifidi and transverse abdominis, and the floor is the pelvic floor muscles.

Why are they important? Without having a strong base of support or core, the body must rely more heavily on other muscles due to imbalances. For this reason these muscles are often known as your stabilizers as they allow the rest of your body to move properly. Simple everyday activities such as walking, lifting, bending over to tie your shoes or playing sports may become painful to complete.

I have a six-pack so doesn’t that mean I have a strong core? Not exactly. A six-pack looks aesthetically pleasing; however, unless you train your inner abdominal muscles, it is only a matter of time before you end up with an injury. In fact the six-pack does not involve the entire core; it is mostly comprised of the rectus abdominis. The rectus is unable to support itself without assistance from other muscles located in your abdominal cavity. It can even compress your spine and cause pain if overworked.

I suffer from back pain, can I still work on my core? Yes, you can. If you suffer from back pain, your doctor may recommend you see a physical therapist. Physical therapists are licensed professionals who are medically trained to help patients decrease pain, improve strength, increase mobility, and improve function. A physical therapist can evaluate your symptoms and design a program for you which will allow you to strengthen your core without causing back pain, while preventing injury.

breathing. As with the exercise mentioned above, it is designed to strengthen your inner stabilizers. To start the exercise, you can either lie down or sit upright in a chair with your feet planted firmly on the floor. Place one hand on your abdomen and the other on your chest. Breathe in slowly and deeply through your nose and allow your stomach to rise, then blow the air out of your mouth as if you are blowing out a candle. Do NOT hold your breath. Diaphragmatic breathing is very relaxing, and easy to complete with practice. In conclusion, back pain can result from weakness of the abdominals and back muscles. This weakness causes the back to work harder, which results in back pain. As a result of core strengthening, the back is able to increase its flexibility, which it needs to support the spine.

Kathleen Groome is a Physical Therapist Assistant for All-Care Physical Therapy Brick location. Kathleen received an AA in 1999 and a BA in 2001 from Fairleigh Dickinson University. She graduated from the Physical Therapy Assistant Program in 2004 from Essex County College.

I want to start a core exercise program, but I don’t know where to start. It is recommended that you consult a professional before beginning any exercise program. If you would like to strengthen your core or inner abdominal stabilizers, let’s first start with the basics by strengthening two important muscles: the transverse abdominis (TA) and diaphragm. Lying down on your back with your knees bent, gently tighten your stomach in towards your belly button. Hold for five seconds without holding your breath. You can repeat this 10 times. This exercise isn’t easy; however, it is extremely important as these muscles are being contracted when we lift or move. You should be able to hold a conversation and contract your abdomen at the same time. Another exercise is called diaphragmatic

Katie graduated from Essex County College Physical Therapy Assistant Program in 2004. She completed clinical rotations in acute care, outpatient orthopedics as well as the Cerebral Palsy high school in Clifton, NJ. Her clinical experience includes outpatient pulmonary, orthopedics, sports related injuries, geriatrics, pediatrics, as well as neurological patients including Cerebral Palsy, Multiple Sclerosis, Parkinson ’s disease and CVA. Katie’s professional interests include pre and post operative orthopedics, neurological rehab as well as sports related injuries in adults and pediatric patients, SI dysfunctions, shoulder and knee rehabilitation. She believes in using a variety of techniques which includes manual techniques, joint mobilizations, PNF, muscle energy techniques as well as Regional Interdependence (using movement patterns to identify impairments which may be unrelated to the main complaint, however they contribute to the disability). Some of Katie’s continuing education courses include: • Complex Shoulder and Elbow Disorders • SFMA 1 (Selective Functional Movement Assessment • Great Lakes Mobilization of the Cervical and Thoracic Spine and Ribs

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March/April 2017

CLDDS - OCW full pg Mar/Apr.qxp_Layout 1 1/27/17 11:39 AM Page 1

Elder Law

Establish a plan, diffuse a crisis, or have a question...

ANNEMARIE SCHREIBER, ESQ. Certified Elder Law Attorney* has the knowledge and experience to help you!

Caregiver Care O

n a weekly basis, I have a conversation with a family caregiver or someone who is receiving care from a family member or friend. As you would expect, the conversations focus on a legal aspect such as legal documents needed or Medicaid planning. What may come as a surprise is that the conversations often touch upon the impact caring for the individual has upon the caregiver. An estimated 40 million Americans serve as caregivers for their spouse, parent, grandparent, relative or neighbor. Everyday these caregivers provide assistance with many basic needs such as dressing, bathing, cooking, medications or transportation. Often, they do some or all of this while working, parenting, or both. Generally, they are unpaid for their services. Research shows that family members who provide care to individuals with chronic or disabling conditions are at risk to experience their own health issues. Family caregivers are more likely to experience negative health effects like anxiety, depression and chronic disease. It is not uncommon to hear a family caregiver express: “My husband has dementia, but now I'm the one in the hospital!” Older caregivers are not the only ones who put their health and well-being at risk. Many children have assumed the role of caregiver for their parents. These younger family member caregivers, known as the “sandwich generation” because they are responsible for bringing up their own children and for the care of their aging parents, also experience health issues. All caregivers, no matter their age, face an increased risk for depression, chronic illness and a possible decline in quality of life. Yet, despite these risks,

family caregivers of any age are less likely than non-caregivers to practice preventive healthcare and self-care behavior. Caregivers, regardless of age, report problems with sleep deprivation, poor eating habits, failure to exercise, failure to stay in bed when ill and postponement of or failure to make medical appointments for themselves.

While stressful, the job of caregiving does have many rewards. A caregiver is well served if he or she understands the resources that are available to help lessen their stress and enhance the rewards of caring for a sick family member. One such resource is an elder law attorney. An elder law attorney can be instrumental in providing guidance from ensuring that the proper legal documents are in place to giving respite leads and suggestions. With the proper guidance, the caregiver can continue to care for, love, learn from and enjoy the people in their charge. To schedule a consultation or for more information about how we can help you and your family...

Call Annemarie Schreiber at 732-797-1600 If you are unable to make it into the office, we are willing to visit you in your home, hospital, assisted living facility, or nursing home. April 16, 2017

Estate Planning, Probate, and Administration Wills and Trusts Powers of Attorney Advanced Medical Directives Guardianships/ Conservatorships Medicaid/Medicare Planning Elder Abuse Cases Disability Planning Healthcare Decisions Nursing Home Issues Social Security Asset Preservation and Protection

Be informed about the importance of advance care planning.

*As a Certified Elder Law Attorney (CELA) by the ABA approved National Elder Law Foundation, Annemarie Schreiber is one of only 400 or so attorneys in the entire United States who is a qualified CELA. She is certified by the ABA approved National Elder Law Foundation and has years of experience offering clients in Ocean and Monmouth counties the legal counsel they need to plan ahead for their future or the future of there loved ones work through difficult situations.

Counseling and Document Preparation Estate and Gift Taxes …and More.

732-797-1600 www.CLDDS.com 9 Robbins Street,Toms River, NJ 08753

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March/April 2017

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The County Woman

Welcome To The Ocean County Woman Publication! While we trudge through the last days of winter and look forward to the first day of spring on March 20th, I am reminded of a quote by the late Robin Williams. He said, “Spring is nature’s way of saying, ‘Let’s party!!” I think we all feel the spirit of renewal and rejuvenation upon the arrival of spring. It truly is a wonderful time of year, and a great opportunity to be out in the county enjoying what our local businesses and healthcare practices have to offer. Getting healthy and in shape for summer may be on your “to-do” list. In this issue you will find a plethora of informative articles on health and wellness, fitness centers, fashion and beauty, financial management, and much more. For instance, if you are looking to get in shape before the summer, Ideal Innovations, LLC (pg. 38) can help you lose weight with the ideal protein diet. Another place to start your fitness journey towards a healthier lifestyle is with Yoga Nine (pg. 34), where you can take yoga and many more classes seven days a week. The professionals who provided valuable legal and financial information this month include Straffi & Straffi (Bankruptcy Law, pg. 35), Tony Karpowich (Financial Management, pg. 55), Carluccio, Leone, Dimon, Doyle & Sacks, LLC (Elder Law, pg. 3), Kathleen M. Dotoli, Esq. (Worker’s Comp, pg. 15), The Matus Law Group (Special Needs Trusts, pg. 16), and Connie Roberson, OASIS (Senior Facility Advisor, pg. 50). If you haven’t already planned your summer vacation, it’s time to begin. TravelSmith’s (pg. 23) offers many last minute deals to some great destinations. Of course, being at the shore you do not have to travel far to find wonderful summer activities for the whole family. Follow us on Facebook and Twitter to check out local events and investigate the many informative articles in this issue.

We wish you a “Happy Spring” in eager anticipation to the warmer months ahead! Best, Kristina Pruitt and the Staff at the Ocean County Woman Publication

P.O. Box 619 Turnersville, NJ 08012

Featured on the Cover University Urology Associates of New Jersey (UUANJ)

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display The County Newspaper published bi-monthly andand is available freedistributors of charge atonly, display standsWoman’s in approved private isand public establishments authorized stands in paid approved private and public establishments and authorized distributors only, or or by mail subscription. by paidTrademark mail subscription. and U.S. Copyright Laws protect The County Woman’s Newspaper. No part of this Trademark and be U.S. Copyrightwithout Laws protect The County Woman’s paper may reproduced the written permission of theNewspaper. publisher. No part of this paper may be reproduced without the written theany publisher. The County Woman’s Newspaper is notpermission responsibleoffor editorial comment (other than The County Woman’s Newspaper is not responsible for any editorial comment (other than its its own), typographical errors from advertisements submitted as camera ready or any reproducown), typographical errors from advertisements submitted as camera ready or any reproductions of tions of advertisements submitted as camera ready. advertisements submitted as camera ready. an advertisement standards of acceptance, we may or cancel at If anIf advertisement doesdoes notnot meetmeet our our standards of acceptance, we may reviserevise or cancel it at itany anywhether time, whether notbeen it has been acknowledged already acknowledged and/or previously published. The time, or not itorhas already and/or previously published. The advertiser advertiser assumes sole responsibility for all statements containedcopy in submitted copy and assumes sole responsibility for all statements contained in submitted and will protect andwill protect the andWoman’s indemnify the Woman’s Newspaper, its owners, publishers, against and employees, against indemnify Newspaper, its owners, publishers, and employees, any and all liability and all liability lossoforclaims expense out oftrade claims for libel, unfaircopyrights trade names, patents, lossany or expense arising out forarising libel, unfair names, patents, and propriety rights, and all violations of therights, rightand of privacy or otherofviolations resulting the publication copyrights and propriety all violations the right of privacyfrom or other violations of this newspaper its advertising copy. of this newspaper or its advertising copy. resultingorfrom the publication TheThe publisher shallshall be under no liability for failure, for any reason, to insert an advertisement. publisher be under no liability for failure, for any reason, to insert an advertiseThement. publisher shall not beshall liable failure to insert an The publisher notbybereason liable of by error, reasonomission of error,and/or omission and/or failureany to part insertofany advertisement. The publisher The will publisher not be liable or failure in performance publication and/or part of an advertisement. willfor notdelay be liable for delay or failure ininperformance distribution if all orand/or any portion of an ifissue is delayed or suspended reason. The publisher in publication distribution all or any portion of an issueforisany delayed or suspended for will exercise reasonable judgment in these instances and will make adjustments for the advertiser where and any reason. The publisher will exercise reasonable judgment in these instances and will make when appropriate. the advertiser where and when appropriate. adjustments The Woman’sforNewspaper assumes no responsibility for unsolicited material or reproductions Theadvertisers. Woman’s Newspaper assumes no responsibility for unsolicited material or reproducmade by tions made by advertisers. This newspaper will be published by the 15th of every other month. This newspaper be published by theCOPYRIGHT 15th of every other Representations by CWwill Media Group, LLC, 2008.month.

Pictured L-R: Imani Rosario, MD, Mukaram Gazi, MD, FACS, Parvez Mahmood, MD, FACS, Bob Peterson, DC, PA-C, and Alexander Gotesman, MD. Read more about these doctors and their commitment to excellence, integrity, innovation and treatment on pages 19, 20 & 21. Cover photo by Tracy Harman Photography.

Schedule your professional headshot, family portraits, beach session and wedding portraits today. See pages 30 & 31.

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March/April 2017

Contents

^ Medical Professionals

All-Care Physical Therapy Center, LLC...............................2 Quality Dermatology............................................................6 Garden State Bariatrics.......................................................7 Shore Vascular & Vein Center..............................................8 Acuity Specialty Hospital of New Jersey.............................9 Ocean Otolaryngology Associates, PA..............................11 Atlantic Neurosurgical Specialists.....................................13 Advocare Stafford Orthopedics.........................................14 Gastroenterologists of Ocean County.........................24, 25 Reproductive Science Center of New Jersey...................32 Ocean Plastic Surgery PA and Laser Center.....................33 Bella Derma Medi Spa.......................................................36 Paonessa Colon and Rectal Surgery, PC..........................38 Dr. Park Avenue.................................................................39 Ocean Hematology & Oncology........................................40 MonaLisa Touch North Dover............................................41 Kathy A. Banks, DMD..................................................42, 43 Barnabas Health Medical Group: Dr. Sumy H. Chang......45 Toms River X-Ray, CT & MRI Center.................................47 Barnabas Health Medical Group: Ocean Gynegolical and Obstetrical Associates................49 Institute for Complementary and Alternative Medicine.....52 Caring Heart & Brain Imaging............................................57 Garden State Medical Center............................................71

^ Elder Law

Carluccio, Leone, Dimon, Doyle & Sacks, LLC...................3

^ Health & Wellness

Spa Virtue @ The Body Wrap Shoppe................................5 Holistic Health Spa............................................................15 Hypnosis for Women.........................................................22 Ideal Innovations, LLC.......................................................28

Yoga Nine Mind/Body Studio............................................34 Lice Lifters.........................................................................34 Jersey Shore Pharmacy....................................................56

^ In-Home Care

Aesthetic Dental Creations................................................10

^ Senior Facility Advisor

^ Professional Dentistry

Karing with Kindness.........................................................44

^ Outdoor Living

The Mosquito Authority.....................................................48

^ Sub-Acute Center

Connie Roberson, OASIS..................................................50

^ Law

The Woods at Blue Heron Pines.......................................50

AristaCare..........................................................................12 Kathleen M. Dotoli, Esq.....................................................15 The Matus Law Group.......................................................16 Straffi & Straffi, Attorneys at Law......................................35

^ Pediatric Dentistry

Ocean Pediatric Dental Associates, LLC..........................17

^ Holistic Substance Abuse Treatment

Enlightened Solutions........................................................18

^ Car Insurance

All-State Car Insurance, Dolly Wasielewski.......................18

^ Featured on the Cover

University Urology Associates of New Jersey.......19, 20, 21

^ Travel

TravelSmiths......................................................................23

^ Exterior Improvement

Built-Rite Windows............................................................26

^ Fashion & Beauty

Barbara’s Boutique............................................................27

^ MediCare Insurance

The Buckley Insurance Group...........................................29

^ Fine Art Photography

Tracy Harman Photography........................................30, 31

^ Permanent Hair Removal

Monmouth/Brick Electrolysis............................................35

^ Business & Finance

Copiers Plus, Inc...............................................................37

^ Apartment Community

^ Hair Designs & Hair Replacement

Abstrax Hair Designs.........................................................51

^ Reverse Mortgage Lending

Homebridge Financial, Barbara Sica.................................53

^ Assisted Living

Spring Oak of Forked River...............................................54

^ Financial Management

Wells Fargo Advisor, Tony Karpowich...............................55

^ Acupuncture

Koehler Acupuncture.........................................................58

^ Funeral Planning

DeGraff Funeral Home.......................................................59

^ Massage School

New Jersey School of Massage........................................59

^ Adult Community

Fountainhead.....................................................................60

^ Business & Personal Storage

Airship Storage..................................................................62

^ Education

Ocean County College......................................................62 ^ Women of Ocean County.............................63

^ Theatre & Entertainment

Church & State..................................................................64 Indecent.............................................................................65 Two River Theater..............................................................69 ^ Community.............................46, 61, 66, 67, 68, 70

Please Take Advantage Of Our Many “Enter To Win” Contests Throughout The Paper And On Facebook! Health & Wellness

Achieve Healthier Skin This Spring Do you want to improve the condition of your skin but don’t know where to start?

Book A Facial.

If you have never consulted a professional skin care expert or dermatologist, you may be doing more harm than good for your skin. You may think your skin is oily, when it is actually dehydrated, however, the dead cells on the surface interrupt the normal oil function (oil can be a good thing, especially for fine lines). Many people think that their skin is sensitive, when it is merely confusion due to using too many different products or lack of care that causes the sensitivity.

Regardless, our answers to skin care concerns are… come into the spa for a facial!

Thermasculpt Facial

Ultrasound beauty treatments are now going to the next level, and those mighty little sound waves are taking aim at everything from love handles to frazzled hair. The Ultrasonic Facial helps rejuvenate, renew and radiate your skin. It is also used to tighten skid, rid wrinkles, ride your eyes of bags or dark circles and moves collagen into your lips for that plump look you always wanted.

Photo Facial Rejuvenation

Say goodbye to fine lines, wrinkles, hyper pigmentation, and rosacea. Experience Soil-Tone, the newest LED light therapy. This approach maxims facial rejuvenation, with a non-invasive procedure, by respecting the physiology and biology of your skin and muscles. Soil-Tone attacks the problems from the inside. Your skin will appear smoother with an even tone. Some women/men maintain their skin with monthly facials. However, if your time or financial budget does not allow this, consider scheduling them by season, because when the weather changes, so does your skin.

Call Spa Virtue Today!

732-323-3000

www.TheBodyWrapShoppe.com @TheBodyWrapShoppeandSpa 277 Route 70, TOMS RIVER NJ

The County Woman Magazine www.TheCountyWoman.com

March/April 2017

Medical Professionals

Basal Cell Carcinoma Basal Cell Carcinoma, also known as BCC, is a type of skin cancer that begins in the basal cells. Appearance

• Oftentimes no symptoms • Sometimes can be itchy or painful • Non-healing lesion • Redness • Loss of color • Small bump resembling a cyst or a pimple • Swollen blood vessels in the skin • Ulcer • Pearly growth • White waxy lump • Scaly patch • On sun-exposed areas, such as the face and neck

Types • • • • •

Nodular Infiltrative Pigmented Ulcerative Superficial

Very common

• More than three million US cases per year • Caused by sun exposure • Diagnosed and treated by a dermatologist (since BCC sometimes resembles noncancerous skin conditions such as psoriasis or eczema) • In certain cases will need a referral to a surgeon

Prevention

• Seeing dermatologist for regular skin checks • Reporting any new mole or growth • Limiting sun exposure • Using sun screen

Treatment

Treatments include prescription creams, radiation or surgery (Mohs surgery, electrosurgery, cryosurgery, wide local excision) to remove the cancer. -Mohs surgery: Surgical removal of skin cancer, one layer at a time, until only healthy tissue is left.

-Electrosurgery: Using electric current to cut tissue. -Cryosurgery: Using liquid nitrogen to freeze superficial BCC. -Wide local excision: Surgical removal of a small area of cancerous or precancerous tissue, along with a margin of normal tissue. BCCs are easily treated in their early stages. The larger the tumor has grown, however, the more extensive the treatment needed. While BCCs seldom spread to vital organs, they can cause major disfigurement and occasionally result in nerve or muscle injury. Certain rare, aggressive forms can be lethal if not treated promptly. When small skin cancers are removed, the scars are usually cosmetically acceptable. If the tumors are very large, a skin graft or flap may be used to repair the wound in order to achieve the best cosmetic result and facilitate healing.

FOR MORE INFORMATION CALL 732-244-2666 OR VISIT WWW.QUALITYDERM.COM

The County Woman Magazine www.TheCountyWoman.com

RENATA FLAKS, DNP

March/April 2017

Medical Professionals

Reclaim Your Health, Your Body...Renew Your Life We are proud to be among a select few in NJ designated as a Center of Excellence bariatric practice that provides your surgical and ongoing medical care. Our entire team is rigorously chosen for their passion for our patients and as advocates for our patients’ surgical, nutritional and lifelong successes. While we refer to bariatric surgery as ‘happy’ medicine, our patients are working on a lifelong lifestyle shift – and this requires expertise, passion and compassion in your bariatric medical team. We are dedicated to five-star service – we are here to deliver it – at every interaction you have with any member of the team. From your first call, email or informational seminar, we look for ways to effectively and consistently remove obstacles from your journey that may impede your ongoing success. From verifying your insurance and giving you all of the ins and outs to having surgery, to questions, counseling and/or finding other physicians who take your insurance, we are here and happy to help. While so many of our patients ‘tease’ the team that we are always happy and a warm place to visit – we truly love our patients and do whatever we can to assist them. We know this is an important decision and a lifelong change for our patients and we are committed to having our patients receive the respect, dignity and compassion they deserve.

Michael l. Bilof, MD, FACS, FASMSBS

Basil M. Yurcisin ll, MD, FACS

We value your time and know our privilege is to be here for you. Whether we are waiving a co-pay since we did not see you within minutes of your appointment; offering payment plans, ongoing free events, discounts on personal trainers and free consults; to our Annual FREE Holiday Party for all of our patients and their guests – we are always looking for ways to celebrate the journey and the success of each of our patients. Every point of contact is designed to be an honorable and generous experience for anyone who chooses GSBWC. Obesity is a serious medical condition and we take your concern to address your health seriously. We know the decision to take the first step – or stay on track – is not always an easy one. We are here – be it with a smile, a hug, lots of laughter or a few tears, and we are proud of the opportunity to support you – privileged to make a difference.

225 MILLBURN AVE., SUITE 204 MILLBURN, NJ 07041 973-218-1990

1430 HOOPER AVENUE #203 TOMS RIVER, NJ 08753 732-269-6800 WWW.GSBWC.COM

The County Woman Magazine www.TheCountyWoman.com

March/April 2017

Medical Professionals

Medical Professi Groundbreaking New Technology for Laser Tattoo Removal Groundbreaking New Technology f Shore Vascular & Vein Center / Aesthetic Laser Center announces en en , light

™

the newest, most complete solution available anywhere for laser tattoo removal.

enlighten

™

treatment of al with other lasers. You can also anticipate more complete results. However, since ones, with a sin the exact number of treatments will not initially be known, we offer complete number of trea tattoo removal packages. That gives you a set price in the beginning and eliminates Number of the uncertainty of not knowing the exact number of treatments that will ultimately be needed. Our staff can give you more information about pricing after we People often a be removed com examine your tattoo.

is the most advanced laser system available for safe and effective tattoo removal. It is the world’s first laser system to combine both That is because picosecond and nanosecond About Us are needed to r technology with dual wavelength Our medical director, Dr. Jeffrey Gosin, is a Board Certified Vascular Surgeon. of various sizes lasers. This allows individualized He has years of experience in performing cosmetic vascular laser procedures using are more difficu treatment of all colors of ink and the highly acclaimed Excel V™ laser. Over those years, he has been asked by many know in the ve skin types for the fastest, most Shore Vascular & Vein Center / Aesthetic Laser Center patients if he could also remove their tattoos with his laser. While the Excel V™ how completel complete laser tattoo removal ™ announces en light en , the newest, most complete laser is best-in-class for vascular applications, it is not designed for removing laser has been s ever available. tattoo removal solution laser limitations. tattoo removal. tattoos. available Other prior anywhere lasers also hadfor significant Therefore, he previously the number of would not provide this service. The “Pico” Difference ™ en light en is the most advanced laser system available ™ When the new enlighten laser finally became available, that completelya good idea of Lasers remove tattoos by delivering for safe andthings. effective tattooresearched removal.theIttechnology, is the world’s firstconferences, and examined. changed Dr. Gosin attended high energy over a very short period laser system to combine both picosecond and nanosecond Partial Tat personally consulted with laser experts from around the country who were involved of time to break up ink. Inks of different types, colors and depth can provide lasers. This allows in the verywith earlydual use ofwavelength this remarkable new device. It became clear that this Due to chang significant challenges to remove. It has been shown that shorter duration pulses aretechnology treatment allstandard colors of ink and skin typesWe forare very pleased other factors, s technology would set theof new in laser tattoo removal. more effective in completely removing tattoos than longer duration pulses. Our individualized changed. We c the fastest, most complete laser tattoo removal ever available. to be the first center in the entire Delaware Valley to be able to offer this cuttingnew enlighten™ laser can deliver energy at picosecond intervals. A picosecond is leaving other p technology. one trillionth of a second. This is one thousand times shorter than prior lasers Theedge “Pico” Difference Cost for tattoo removal. Picosecond, sometimes referred to as “pico,” lasers have been Lasers remove tattoos by delivering high energy over a very short period of time If you are Cost will vary shown to remove tattoos more completely and with fewer treatments, than with to break up ink. Inks of different types, colors and depth can provide significant experiencing including the s lasers used in the past. challenges to remove. It has been shown that shorter duration pulses are more treatments nee “tattoo regret” effective in completely removing tattoos than longer duration pulses. Our new Flexibility requiring far fe and would like to enlighten™ laser can deliver energy at picosecond intervals. A picosecond is Picosecond lasers are the newest, most advanced tattoo removal technology anticipate mor have your tattoo one trillionth of a second. This is one thousand times shorter than prior lasers available. Our enlighten™ laser combines this “pico” technology with the will not initiall removed or flexibility of both 1064nm and 532nm dual wavelength lasers. Never before has for tattoo removal. Picosecond, sometimes referred to as “pico,” lasers have been you a set price changed, call us this combination of power and versatility been available. This now allows for the shown to remove tattoos more completely and with fewer treatments, than with exact number o for a consultation. treatment of all color tattoos and skin types, even the traditionally very difficult lasers used in the past. more informat ones, with a single device. This provides effective results in approximately half the Flexibility About Us Picosecond lasers are the newest, most advanced tattoo removal technology number of treatments of prior lasers. Our medical

Number of Treatments Required and Results

People often ask how long it will take to remove their tattoo, and will it be able to be removed completely. Laser tattoo removal typically takes multiple treatments. That is because tattoo ink is deposited deep into the skin and multiple treatments are needed to reach all of the ink and break it up completely. In addition, tattoos of various sizes, colors and ages may respond differently to treatment. Some colors are more difficult to clear completely than others. Therefore, it is impossible to know in the very beginning how many treatments will ultimately be needed or how completely it will be removed. However, our new enlighten™ picosecond laser has been shown to be faster and more effective than the prior lasers used for tattoo removal. In fact, many people can expect to obtain excellent results in half the number of treatments, or less, than with prior lasers. Our doctor can give you a good idea of the number of treatments that will be needed after your tattoo is examined.

For Our more information, call available. enlighten™ laser combines this 609-927-8346 “pico” technology with the flexibility of both 1064nm and 532nm dual wavelength lasers. Never before has or visit www.EndTattooRegret.com. this combination of power and versatility been available. This now allows for the

He has years of the highly accla patien Excel V for rem “University Quality Care at the Jersey Shore” Theref Wh compl confer countr device laser ta Delaw

If to ha consu

Partial Tattoo Removal

Due to change in circumstances, relationships and other factors, some people desire to have their tattoos changed. We can remove parts of tattoos, while leaving other parts intact, to allow for tattoo changes.

Cost

Cost will vary depending on a number of factors including the size of the tattoo and the number of treatments needed. Keep in mind that with enlighten™, you should anticipate requiring far fewer treatments than required

The County Woman Magazine The County Woman Magazine www.TheCountyWoman.com

442 Bethel Road Somers Point, NJ 08244

(609) 927-VEIN (8346) www.EndTattooRegret.com

www.TheCountyWoman.com March/April 2017

Medical Professionals

Nina Brathwaite’s Life-Changing Event Acuity Specialty Hospital of New Jersey – the Foundation for Recovery

On December 6, 2016, after months of recovery and after surviving catastrophic events that others have not, Nina and her family attended the First Acuity Alumni Luncheon. The luncheon, designed for former patients and their families to Lalita Brathwaite, niece, Aisha Pinkett, granddaughter, Chemai Moore, reconnect with clinicians, and great-niece, Brenda Brathwaite, daughter, Sabina Booker, Acuity Specialty the clinicians to see first-hand Hospital of New Jersey, Clinical Liaison. the continued progress of their patients, was a memorable event On August 24, 2016, Nina Brathwaite for all attendees. The Acuity family and the patients’ experienced a life-changing event while families whose lives were touched, filled the room with working as a casino dealer at the Golden love, joy and hope. The love was felt throughout the Nugget. She collapsed to the casino floor room, the joy to see the patients and families reunited with sudden chest pain. She was rushed to with the clinical team and hope for all new beginnings AtlanticCare, evaluated and immediately for the patients’ lives. airlifted to University of Pennsylvania for While there, Nina was finally allowed to share her open-heart surgery. During the surgery story and express the appreciation she feels for the she experienced another massive heart remarkable medical team that allowed her to defy the attack in which her aorta ruptured. odds. “Walking, talking, chewing and swallowing – Although the statistics of surviving a these movements that most people take for granted cardiac event of this magnitude are very became the driving force of my survival. Acuity Specialty slim, Nina miraculously survived. Her road Hospital of New Jersey provided the therapy I needed to recovery was paved with difficulty. She to regain my mobility and independence. Without the experienced a stroke which left her left dedication and commitment to providing unparalleled side weakened and even a third heart care for their patients, particularly me, I could not have attack. Nevertheless, she continued to thatSpecialty I have now. Thereofare Acuity Hospital New defy the odds and progressed to a different experienced the progress so many professionals to thank that I cannot name or level of care and intervention. It was during Jersey is a long term acute care remember you individually, so I would like to thank September that her medical team referred hospital located you all. Without God’s grace and yourinside care, AtlantiCare I would her to Acuity Specialty Hospital of New not be here today. Once again, thank you,” said Jersey, located in Atlantic City, a long-term Regional Medical Center in Nina at the luncheon. acute care hospital (LTAC). Since she was still a very complex patient requiring a ventilator, a tracheostomy tube and a feeding tube, Acuity Hospital of New Jersey was the perfect place for her to continue recovering. The entire medical team is specialized to care for patients of her medical complexity. They immediately began weaning her from the ventilator to ensure she would continue her recovery without further complications of infection or pneumonia. Eventually the tracheostomy and feeding tube were removed. She showed steady progression during her time at Acuity Hospital of New Jersey and was finally released to rehabilitation. Nina Brathwaite was transferred to Bacharach’s Institute for Rehabilitation (Acute Stroke Care Unit). While at the Bacharach Institute for Rehabilitation, she received aggressive occupational, physical and speech therapies. The medical staff there was impressed by her progress and upbeat spirit during her stay. Nina’s next stop on her road to recovery was Royal Suites short-term rehabilitation, and she will remain there until returning home. “The staff who worked with Mom, no matter the facility, loved her outgoing personality. She always made them laugh, gave them advice, and called everyone by a nickname,” added her youngest daughter and namesake, Nina Garrett.

Atlantic Our Laid recently Acuity Specialty of NewCity. Jersey the renovated hospital-within-aFoundation for Nina’s Recovery

“Acuity Specialty Hospital New Jersey laid the hospital of provides 30 private foundation for Mommy’s recovery,” said Brenda rooms equipped withisstate Brathwaite, Nina’s daughter. “Our family a veryof the close-knit family and art we monitoring were all involved my to the in medically mother’s care. We needed her to be close to us and complex and critically ill. Patients we were all at ease with the team at Acuity, from the are seen by physician level of care to the communication with thespecialists family,” continued Brathwaite.daily and typically discharged to “My mother is 85 years old and before the 24th, acute and sub-acute she was not hospitalized other than to give birth to her rehabilitation centers, children and rotator cuff surgery. She never skilled knew what it was to be ill and need to recover. This was first nursing facilities or theirthe homes. time she had to leave her children and husband. Acuity Specialty Hospital made me feel like I was part of their family. Everyone from the nursing assistants to the physicians and more, became my hospital family and treated me like I was family. “We cannot thank Acuity enough for all they did for our mother. The Alumni Luncheon was such a proud moment for Mommy and the entire family. She Jennifer was beaming with pride thatBrown, she wasBSN, ableRN, toEmployee speak to of the Year 2015 and Kathy Kerstetter, MSN, the team. The event reinvigorated her and lifted her RN, ACNP-C, Leader of the Year 2015 spirits,” said Braithwaite. She ended by saying, “The

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event was a gift from Acuity to my mother. She has a renewed desire to work and push harder in her recovery. We believe that every medical facility understood how important my mother was to our family, and made us feel that their commitment to her recovery was equally as important to them. Especially Acuity’s level of care, we cannot thank you for all you did for my mother and my entire family.”

Aisha Pinkett, granddaughter, kneeling with camera - Nina Garrett, daughter

For Information or Referrals, Call 609-441-8123

A Simple Choice for Complex Patients Our achievements speak for themselves: • • • • •

First hospital in New Jersey to achieve ISO 9001:2008 certification, maintained since 2012 New Jersey Hospital Association Excellence in Quality Improvement Award- 2016 American Association for Respiratory Care Center of Excellence 2012-present Current ventilator weaning rate over 80% Wound healing rate over 80%

Our team specializes in the following needs of our patients: • • • • •

Ventilator weaning Complex wounds Infectious diseases Medically or surgically complex care Multi-system organ dysfunction

www.acuityatlanticcity.com March/April 2017

Professional Dentistry

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March/April 2017

Medical Professionals

The Salivary Glands Written by: Dr. Stephen Kupferberg, MD, FACS There are both major and minor salivary glands. The major salivary glands are the parotids, submandibular and sublingual glands. The function of all the glands is to produce saliva to moisten the mouth, aid in digestion, and help protect the teeth from decay. The parotid glands empty into the mouth via a single tube called a duct. It is called Stensen’s duct and it is located in the cheek near the second molar of the upper teeth. The submandibular gland empties under the tongue in the front of the mouth through Wharton’s duct. The sublingual gland has many ducts in the floor of the mouth. There are multiple minor salivary glands located in the lips, cheeks and other areas of the mouth and throat. Several different problems can involve the salivary glands including obstruction, infection, tumors, and other disorders. Obstruction most commonly occurs in the parotid and submandibular glands. It may be due to the formation of stones in the gland or ducts. Strictures or narrowing can also slow salivary flow. When a person eats, the nervous system signals the gland to increase its production of saliva. This may back up and cause the gland to swell. This swelling usually decreases slowly after a meal. The most common infection in children is mumps and affects the parotid glands. This usually occurs in children who have not been immunized. Infections also happen in adults. This often occurs in the elderly who become dehydrated or with severe obstructions. This often necessitates antibiotic therapy. Tumors also occur in the salivary glands. They most commonly present as painless swellings on the side of the face or upper neck. Aggressive tumors can present with involvement of the facial nerve, causing decreased movement in portions of the face. Most tumors

are benign. Pleomorphic adenoma and Warthin’s tumors are the most common benign lesions. Mucoepidermoid carcinoma, adenocarcinoma, and adenoid cystic carcinoma are the most common malignant tumors. Diagnosis is often made by physical examination. A mass can be felt in the cheek or neck. Stones can sometimes be noted by palpation in the mouth. CT scans or MRIs are often necessary to delineate the extent or size of tumors or stones. If a tumor is found, a fine needle aspiration biopsy is often performed to figure out the pathology to guide further therapy. Small stones may be removed by sialoendoscopy. This involves removing the stones through the ducts with a small camera, graspers, baskets, or lasers. Larger stones will necessitate more extensive surgery. Tumors will often necessitate surgical intervention. Tumors involving the parotid gland will often necessitate a superficial or total parotidectomy with facial nerve dissection, as this nerve divides the gland into superficial and deep lobes. Malignant lesions may result in sacrifice of part or all of the facial nerve. Submandibular gland lesions are removed by excising the entire gland. If malignancy is noted, then radiation therapy and possible chemotherapy may be needed.

Stephen Kupferberg, MD, FACS

Dr. Stephen Kupferberg is a board certified Otolaryngologist and has been in practice for 20 years. He is a graduate of Jefferson Medical College, Philadelphia, Pa. and completed his internship and residency at the Medical College of Georgia, Augusta, Ga. Dr. Kupferberg practiced in Maryland for four years before moving to Toms River where he resides with his wife and two sons. He specializes in hearing loss, nasal and sinus surgery and head and neck surgery and adult and pediatric ear, nose and throat disorders. His leisure time is spent outdoors with his family, cycling, camping, hiking and golfing.

Bruce W. Peters, DO, FACS

Christina Gillespie, MD

54 Bey Lea Rd., Suite 3, Toms River, NJ 61 Lacey Rd., Whiting, NJ 1673 Rt. 88 W, Brick, NJ Recipe

For more information, call 732-281-0100 or visit www.OceanENTFacialPlastics.com.

Spring Spaghetti Frittata Compliments of Chef Steph

Preheat the oven to 350 degrees. Lightly grease a 9 inch dish (pie plate) and set aside. Melt the butter and saute the vegetables until they are tender crisp, adding the peas and ham at the end. Let cool slightly. In a small bowl, whisk together the eggs and milk, adding any seasonings that you like. Stir in the vegetables and pasta and then put the whole mixture into the prepared pan. Top with cheese and bake for about 30 minutes or until lightly browned. Serve with a salad and viola! Another great home cooked meal.

1 oz butter 4oz sliced mushroom 1 red bell pepper, seeded & chopped 4oz ham, diced 1/2 cup peas, frozen 6 large eggs 1 cup of milk 3 1/2 oz spaghetti, cooked/ chopped 1/4 cup parmesan cheese, grated

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Serves 4

March/April 2017

Sub-Acute Center

Doctors Agree with Dr. Seuss… “Green, Eggs and Ham” are back on the table If you’re like most, a new year brings with it many new resolutions, at the top of most people’s list is losing weight and adopting a healthier lifestyle. For most this means switching out an egg breakfast and replacing it with sugar laden “healthy cereals”, but health nuts and breakfast lovers alike can all rejoice in the latest guidelines announced by the government. Turns out Dr. Seuss was onto something, a little green (vegetables), eggs, and ham can actually be your perfect breakfast. After much debate, the proverbial black sheep of the nutrition world, dietary cholesterol, is finally making its way back to our table again in the form of whole eggs, dairy, lean meats, and some cheeses. The once 300-milligrams per day of cholesterol limit has now been removed, as science has proven that there is very little correlation between the cholesterol we ingest and the cholesterol in our blood.

So What DO you eat in order be fit and healthy? First let’s start with the Green: A great place to begin any healthy lifestyle is with vegetables and fruit, focusing on eating 2-3 cups a day worth of assorted vegetables but can drastically reduce the chances of many diseases. Fruit, although containing some sugar, provides the body with many essential vitamins, minerals, and fiber. Now onto the ham: The next area to focus on when dieting is protein rich foods which provide the body with muscle building (and retaining) amino acids. Some of the best sources for lean protein is fish, poultry, some pork cuts, and lean steak. Fish tops the most nutritionist list because many types contain heart healthy omega 3 fatty acids which have a litany of positive effects on the body. Where the Dr. Seuss diet is missing, add some grains. The final food group to round your diet out with is whole grains. While there is still much debate as to how much carbohydrates the body actually needs, most agree that filling up on fiber-rich whole grains can have a positive impact on health and body composition. Last but not least the highlight of the Dr. Seuss diet is the eggs: You may be wondering when the eggs fit into your diet, alas, with the removal of the daily cholesterol limit, starting your day with several whole eggs is perfectly acceptable and very healthy. A single egg contains around 6 grams of protein, vitamin A, D, E, and K, omega-3 fats, and both antioxidants lutein and zeaxanthin. Now that you don’t have to invest your willpower fighting off the urge of the Dr. Seuss diet, you can focus your willpower on the real diet killer, sugar! What science has found, is that a diet chronically high in sugar, can lead to heart disease and type 2 diabetes. The elimination of sugar from the diet is critical, the guidelines suggest less than 10% of your daily calories should come from sugar. For the average person eating a 2000 calorie a day diet, a single can of soda can push you over that limit. Do these new guidelines surprise you? Healthcare is constantly changing and sometimes it is hard to keep up. AristaCare is committed to educating the local community and keeping you informed, but in a fun and entertaining manner. We make healthcare education as easy as The Cat in the Hat. AristaCare partners with many physicians and other healthcare professionals to help bring awareness and education to hot topics such as this one. We recently hosted a lecture on “Cholesterol Medications and the heart”: Separating Fact from Fiction at the German Butcher Shop in Forked River. This lecture was presented by Dr. Michael Bageac from Toms River Cardiology Associates. Dr. Bageac oversees our Cardiac Boot Camp program in both our Manchester and Whiting facilities. His clinical expertise, attention to detail, and bedside manner really brings our Cardiac Program and community/patient education to a whole new level. Did you miss our most recent presentation? Contact us today to place your name on our mailing list and become a part of our AristaCare family where we bring to you educational lectures, programs, summer concerts, and so much more! Contact us today at 732.849.4300. We welcome you to join us at our upcoming events. To be placed on our mailing list please contact our receptionist at 732.849.4300.

Congratulations to AristaCare at

Manchester on their recent 5 Star Survey!

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March/April 2017

Medical Professionals

After a Brain Tumor Diagnosis, Be Smart About Your Next Move

WE’RE HERE

SO YOU CAN

dance

Every year, 24,000 primary brain tumors are diagnosed in the U.S. alone. While the diagnosis is often paralyzing, having a proactive plan for what to do next is crucial for ensuring the best outcome.

Life’s simple pleasures are not so simple

Hearing the words “You have a brain tumor” automatically sends people into panic mode. However, having a sound action plan can mean the difference between life and death.

At Atlantic NeuroSurgical Specialists (ANS),

when you suffer from neck or back pain.

run

we make them easier for you to enjoy.

Atlantic NeuroSurgical Specialists (ANS) – with its dedicated Brain Tumor Center – offers these tips:: 1. Ensure you receive the appropriate diagnostic testing.

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The largest neurosurgical practice in

There are two primary types of diagnostic tests that neurosurgeons use to examine the brain: CT scans and MRIs. CT scans are best for preliminary screening. However, using CT scans in isolation – especially when performed without contrast – can result in severe misdiagnoses. Insist on an MRI to ensure your doctor has the most accurate information before proceeding to treatment.

New Jersey and one of the most advanced

2. Explore your treatment options.

and possible – we use pioneering minimally

Treatment options vary based on the nature and location of the tumor. There are often alternative courses of treatment available, so understand the options including minimally invasive surgeries and non-invasive techniques such as CyberKnife®. These innovations reduce trauma to the brain and require less cutting, resulting in shorter hospital stays, faster recoveries and better outcomes than traditional surgery. 3. Realistically consider the risks. Have a frank conversation with your doctor about the potential implications of each treatment. Will your brain function at ‘100 percent’ again? What are the short- and long-term side effects? What type of follow-up care is needed? Knowing what to expect will help you prepare for recovery.

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in the country, we treat spinal issues with innovative therapies that don’t necessarily involve surgery. And, when it’s needed –

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invasive treatment strategies.

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Get back to what you love doing the most. Contact us at www.ansdocs.com or call

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732.455.8225.

4. Find a doctor who will be your partner along the journey. There’s no substitute for a doctor’s credentials and experience, but the softer skills – bedside manner, empathy and communication – are also supremely important. You should look for a neurosurgeon you feel comfortable with and who is committed to your care long term. Working with an experienced neurosurgeon who provides guidance and empowerment along the journey can make all the difference in the world. For more information on options for managing and treating brain tumors, contact the ANS Brain Tumor Center at 973.285.7800 or visit ansdocs.com.

OCW BACK COVER We’re Here… So You Can RUN #250_R4.indd 1

Neptune

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Morristown

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2/15/17 12:49 PM

March/April 2017

Medical Professionals

Here For You Since 1975 Samuel E. Epstein, DO Board Certified. Orthopedic Surgery

Judy Kerlin, APN Board Certified ANCC

Eric S. Baskin, DPM Fellow, American College of Foot & Ankle Surgeons

Conveniently located behind Southern Ocean Medical Center Accepting Most Insurances & Medicare

1168 Beacon Avenue â&#x20AC;˘ Manahawkin, NJ 08050 T (609) 597-6092 â&#x20AC;˘ advocarestaffordortho.com facebook.com/advocarestaffordorthopedics

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March/April 2017

15 Law WORKERS’ COMP SCAMS, CONS AND ARTFUL DODGING Unscrupulous employers come up with schemes and scams all the time to limit their financial exposure when a worker is injured on the job. Do you recognize any of these common tricks? THE INDEPENDENT WORKER SCAM: Occurs when companies call employees “independent contractors” to avoid paying taxes, benefits, health care costs, overtime, workers’ comp insurance, etc. These workers lose protections due to this false label. Take-Away: Be wary if your company insists on calling you an independent contractor. You will have to fight for your benefits if hurt on the job. THE CASH PAYMENT CON: Occurs when a company insists on paying workers in cash. The worker is

told this is a great deal because they’ll make more money and pay less in taxes. This gives the company carte blanche to skip out on a workers’ comp claim. And good luck if a worker needs to file for State Temporary Disability or Social Security Disability! No benefits are available to workers who don’t pay into the system. Take-Away: Make sure companies pay you on the books. THE INSURANCE DODGE: Occurs when a company refuses to report an injury to its workers’ compensation carrier, instead advising the injured employee to treat through their private health care. Don’t fall for it! When that occurs, the worker gets saddled with co-pays and deductibles and has little chance of receiving compensation if they suffer a permanent injury. Take-Away: Report claims directly to the workers’ compensation carrier; no need to wait for permission from your employer.

Kathleen Dotoli received recognition from the American Institute of Legal Counsel for “10 Best Attorneys for Social Security and Disability Law Division for Client Satisfaction” 2016

If you need guidance, call 732-228-7534 today for a free consultation.

Health & Wellness

Meditation Guidelines 1. Choose a quiet, comfortable spot where you will not be disturbed by other people or by the phone. This extends to pets as well. Choose a time when you will be free from essential duties. 2. Ensure physical and mental confort. Wear loose, comfortable clothes and empty your bladder and bowel. 3. Assume a poised position.It is essential to have a straight back without rigidity, a comfortable body, and stillness. The ideal meditation posture is one in which you can sit for the duration of the meditation without having to move the body unnecessarily. 4. Close your eyes. This makes it easier to concentrate. 5. Relax your muscles – starting with your scalp down to the tips of your toes. Become aware of each part of your body in succession, letting go as much as you can each time you exhale. Starting with your forehead, become aware of tension to some degree as you breathe in and then let go of any obvious tension as you breathe out. This need only take a minute or two. 6. Become aware of your breathing. Notice how the breath goes in and out. Listen to your breathing – it should be regular, slow, and rhythmical.

7. Choose a word, a sound or object to focus on. The meditation object can be physical like a fruit, a flower vase, a candle, or a mandala, or a word or phrase repeated mentally or aloud, or a body rhythm like breathing. Count your breath from 1 to 10 on exhalation and start again. Try several methods until you find one that is right for you. 8. Don’t think about the “right” way to meditate. Don’t think about the “right” way to meditate. If you are worrying about whether you are doing it right, then you are not meditating. But don’t be critical of yourself – just shift your attention back to the object of your meditation. 9. Passive awareness. This is very important. You need to develop a passive and relaxed attitude toward distraction. Each time you become conscious that your mind has wandered (and this will happen many times), just bring it back easily and effortlessly to the object of your meditation. As you become more experienced, distracting thoughts and images will lessen. Accept that they are inevitable and maintain an attitude of indifference to them. 10. Regular practice. Practice at least once a day for 10 to 20 minutes. With regular practice it becomes easier to still the mind and meditation becomes deeper and more peaceful.

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Call 732-262-2100 today to schedule an appointment or visit www.holistichealthspanj.com.

March/April 2017

Law

The Top 5 Issues in Divorce and Special Needs Children needs children, it is imperative to accurately assess the true needs of the child.

I recently helped a divorce attorney prepare for a case in which there is a special needs child. Divorce is not easy and is especially complex when a special needs child is involved. When the parties have a special needs child, it is critical to make sure the parents carefully consider the present and future needs of the child.

3. Child Support. In New Jersey, there are special considerations allowed to enter when calculating child support, including the disability of the child. Be sure to have an attorney who is able to gauge the needs of the child beyond the basic calculations and formulas that are used for child support.

IMPORTANT ISSUES TO FOCUS ON: 1. Governmental Benefits. If the child is receiving governmental assistance, it is important to involve a lawyer familiar with special needs trusts. The parent and lawyer should anticipate, to the extent possible, the current and short- to mid-term custodial and financial needs of the child so that an appropriate parenting schedule and amount of support can be set in order to avoid going to the Court, which may be costly, to make modifications or to obtain an increase in support.

4. Life insurance. Typically, in a divorce, the payer of child support is required to obtain life insurance to guarantee child support in case the payer dies. When there is a child with special needs, it’s important to take precautions that any life insurance proceeds should not go to the child directly but instead to the special needs trust.

Frequently, children with disabilities are recipients of government benefits such as Medicaid and SSI. These benefits are means tested. In other words, in order to be eligible, there’s only a certain amount of assets that your child can have in his or her name in order to qualify for these benefits. To ensure protection of your child’s benefits, it’s important that the divorce attorney include language for the creation of a special needs trust. Our office frequently helps family lawyers provide the proper language and craft the special needs trust so that the child support is paid directly to the trust instead of to the child, thereby reducing the fear that benefits would be eliminated.

5. Education. Oftentimes, the child may receive special education services. If so, the custody order must clearly outline each parent’s role in the educational decision-making process. Unless the custody agreement grants one parent sole legal custody or revokes a parent’s educational decision-making rights, it is assumed that both parents will have the right to attend IEP meetings, the right to consent to services in educational placement, and the right to request mediation and due process hearings.

2. The Daytime Needs of the Child. Because of the type of condition of a special needs child, does a parent need to be available during the day to take care of the child? On the other hand, there have been cases where a parent has essentially tried to “exploit” a child’s otherwise minimal disability in order to convince a Court that employment outside of the home was not feasible. In cases involving special

There are many other considerations to contemplate in these cases. If you are faced with this situation, reach out to an experienced special-needs lawyer who can work with your divorce attorney to protect your children’s rights.

For more information, call 732-281-0060 or visit www.MatusLaw.com. Helping people protect assets for Special Needs Children and conduct smooth real estate closings for almost two decades.

732.281.0060

Do you have someone in your life with a disability? Are they financially protected?

Basic Estate Planning FOR PARENTS WITH SPECIAL NEEDS CHILDREN

The Matus Law Group is here to help! • Special Needs Trusts • Wills & Estate Planning • Guardianships • Health Care Proxies

• Long Term Care • Powers of Attorney • Inheritance Tax Planning • Trusts

81 East Water St. Suite 2C • Toms River, NJ, 08753 download our free ebook now

Recipe

www.MatusLaw.com5

Christine L. Matus, Esq. with her family

Chicken In Puff Pastry Compliments of Chef Steph

Serves 4

1 sheet puff pastry, thawed and rolled out into a 14in square. 4 boneless chicken breasts, cooked 1/3 cup herbed soft cheese 1/4 cup fresh parsley , chopped 1 large egg Optional ingredients-chopped spinach, diced roasted red peppers, additional cheese, etc.

Preheat the oven to 400 degress. Roll out puff pastry, cut into four equal sized pieces. Place 1 1/2 tablesoons of herbed cheese in the center of each piece. Top herbed cheese with a chicken breast and then chopped parsley Next, fold the corners of the pastry over the chicken breast. Place chicken pastry seam side down on a baking sheet covered in parchement. Lightly brush the top with a whisked egg. Bake for 20-25minutes or until crust is golden brown.

Feel free to add any of the optional ingredients as well & enjoy!

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March/April 2017

Pediatric Dentistry

CELEBRATE PEDIATRIC DENTAL HEALTH By Dr. Elisa Velazquez, Ocean Pediatric Dental Associates February is National Children’s Dental Month & we celebrate all winter long! To teach kids about dental health, we visit over 2500 students in Ocean County. Our team of pediatric dental health specialists visits with Girl Scouts, Boy Scouts, preschools, nursery schools, elementary schools and Head Start to give them a fun & educational lesson on caring for their teeth. The teachers and the children enjoy our interactive sessions and the goodie bags with toothbrushes, educational materials & stickers. If you are a teacher or own a preschool, feel free to reach out to us to schedule a class. In February, we also hosted our 10th annual Give Kids A Smile Day! The first Friday of February each year is a national event when participating offices provide FREE dental care. This program gives underprivileged children the dental care they deserve and allows us to reach out to our community. Each year we strive to treat 100 kids for FREE! Many families with NO dental insurance or with state plans are so appreciative of the opportunity to receive quality FREE dental care. We send out notices to school nurses, preschools, and pediatricians to spread the word about our day of FREE care. The community rallies around this event and we have received recognition from the Mayor of Toms River, the Ocean County Health Department, and the New Jersey Dental Association.

Our efforts to educate children and their families are to help prevent cavities and promote proper oral health. Dental caries are caused by a breakdown of the tooth enamel. This breakdown is the result of bacteria on teeth that break down foods and produce acid that destroys tooth structure and results in tooth decay Although dental caries are largely preventable, they remain the most common chronic disease of children aged 6 to 11 years and adolescents aged 12 to 19 years. Tooth decay is four times more common than asthma, according to the CDC—Centers for Disease Control & Prevention. We look forward to meeting you and your family!

TIPS TO PREVENT DECAY! • • • • •

Brush twice a day with fluoride toothpaste Clean between your teeth daily with floss Eat nutritious and balanced meals and limit snacking/sipping Professional cleanings and oral examination 2X a year Ask about fluoride & dental sealants

YOUR CHILD DESERVES A PEDIATRIC DENTAL HOME! Why choose a pediatric dentist? • 2 Years advanced training

• Child-appropriate equipment

• Child-friendly staff • Prevention focus & setting with all treatment options for kids

Dr. Elisa Velazquez (Dr. Lisa) is the owner of Ocean Pediatric Dental Associates. She graduated from the University of Medicine & Dentistry of New Jersey in 1999 and completed her pediatric residency program as chief resident in 2001. In 2002, she received a Master of Science degree in Oral Biology. Dr. Lisa earned her board certification in pediatric dentistry and is a Diplomate of the AAPD. Dr. Lisa is a member of the American Dental Association (ADA), American Academy of Pediatric Dentists (AAPD), & New Jersey Dental Association (NJDA). She is past president of the MonmouthOcean County Dental Association (MOCDS) and serves as state trustee and is the Vice-President of the NJ Academy of Pediatric Dentistry (NJAPD). She is the staff dentist for Children’s Specialized Hospital and the Ocean County chairperson for children’s dental health. Dr. Lisa is on the surgery staff at St.Barnabas’ Community Medical Center and Monmouth Medical Center. She holds a specialty permit to perform conscious sedation in the office. Dr. Lisa has been named “TOP DENTIST” by her peers for NJ Monthly magazine.

Your Child’s Dental Home

Toms River 368 Lakehurst Rd. Toms River, NJ 08755 732-473-1123

Manahawkin 1301 Rt 72 W, Suite 305 LOCNEW ATION! Manahawkin, NJ, 08050 609-597-9195

www.OceanPediatricDental.com

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March/April 2017

18 Holistic Substance Abuse Treatment

Do You Feel Controlled By Alcohol Or Other Drugs?

If you are a person who feels trapped in a life controlled by alcohol and/or other drugs, or if someone you love is suffering from the pain and destruction caused by substance use disorder, we want you to know that there is hope and a solution. At Enlightened Solutions, we believe that everyone who struggles with substance use disorder can recover and achieve relief from this disease regardless of personal circumstances, past experiences and the unique manifestation of active addiction in the individual’s life. Our holistic and multidisciplinary approach is focused on healing the whole person, and is grounded in a 12-Step Philosophy that encourages participation in a positive and supportive community. SUBSTANCE ABUSE TREATMENT At Enlightened Solutions, we provide clients with the safety, support and experiences to explore any problems and discover their own path to recovery. Many clients discover co-occurring disorders, destructive character patterns, skills deficits, and life management issues that seriously compromise their sobriety, safety, health and sense of belonging, connection and self-actualization. When these underlying issues are addressed, our clients discover that they have not only uncovered their recovery – they have uncovered a sense of spiritual meaning, purpose, belonging and personal fulfillment that transforms their entire lives. • Diverse educational groups • Brain solutions • Specialized attention from a personal therapist • Relapse prevention • Experiential therapy • 12-Step Philosophy • Family therapy • Gender-specific as well as co-ed therapy groups • Cognitive Behavioral Therapy • Living In Balance Treatment Methods

HOLISTIC TREATMENT MODALITIES • Yoga • Mindfulness-Based Stress Reduction (MBSR) • Egala and equine therapy • Acupuncture • Chiropractic • Art Therapy • Music Therapy • Family Constellation Therapy • Chakra, Crystal, Sound, Aromatherapy & Energy Healing • Recreation and adventure based counseling.

600 South Odessa Ave. Egg Harbor City, NJ, 08215 844-234-LIVE

info@enlightenedsolutions.com www.enlightenedsolutions.com

Enlightened Solutions is a multilevel treatment program offering partial hospitalization IOP and OP. For information on our programs and how we can help you live the life you’ve been waiting for, call 844-234-LIVE. Car Insurance

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March/April 2017

Featured on the Cover

UROLOGY GROUP OF CHOICE Treating patients with compassion, dignity, mutual respect, and trust.

SPECIALIZING IN: • Adrenal Cancer • Benign Prostatic • Hyperplasia (BPH; enlarged prostate) • Bladder Cancer • Bladder Control Problems • Erectile Dysfunction (impotence) • Female Sexual Dysfunction • Hematuria • Interstitial Cystitis • Kidney Cancer • Kidney Stones • Male Infertility

• • • • •

Pediatric Urology Peyronie’s Disease Prostate Cancer Prostatitis Sexually Transmitted Diseases • Testicular Cancer • Testosterone Deficiency • Upper Tract Tumors • Urethral/Penile Cancer • Urinary Incontinence • Urinary Tract Infection • Varicocele Also performing: • Vasectomy • Robotic & Laparoscopic Surgery

HAMILTON 1374 Whitehorse Hamilton Sq. Rd. Hamilton, NJ 08690

For the fourth consecutive year, the doctors of University Urology Associates of New Jersey have been recognized by fellow medical pracitioners to be among the best urologists in the Garden State.

The Incontinence Care Center @ UUANJ offers patients a full range of treatment options for urinary incontinence.

HOWELL 2364 Route 9 South Howell, NJ 07731

Men’sHealth @ UUANJ is a program we offer that specializes in treating Men’s Urological Health needs.

FREEHOLD 495 Iron Bridge Rd. Freehold, NJ 07728

TOMS RIVER 20 Hospital Drive Toms River, NJ 08755

For Appointments (609) 581-5900 (732) 928-5300 UUANJ.COM

The County Woman Magazine www.TheCountyWoman.com

March/April 2017

Featured on the Cover

Meet The Doctors Of University Urology Associates of New Jersey Mukaram Gazi, MD, FACS Dr. Mukaram Gazi, the founding member of UUANJ, graduated from the University of Miami School of Medicine and completed his post-graduate training in urology at UMDNJ Robert Wood Johnson Medical School (now known as Rutgers RWJ Medical School) in New Brunswick, NJ. In practice since 2003, this exceptionally skilled, minimally invasive surgeon treats the full range of urinary tract and male reproductive disorders—from no-scalpel vasectomies, erectile dysfunction, and urinary incontinence to state-of-the-art robotic surgery for prostate cancer and enlarged prostate (BPH). Dr. Gazi is devoted to his patients, treating them like family in a compassionate and caring manner. He is board certified in urology, has advanced training in sub-specialties such as uro-oncology and pelvic floor reconstruction, as well as pediatric urology. He is currently an Adjunct Clinical Professor at Fox Chase Cancer Center and Clinical Assistant Professor at Rutgers Robert Wood Johnson Medical School. Dr. Gazi’s background and expertise, combined with honest communication, have earned him recognition as one of America’s Top Urologists by Consumers’ Research Council of America and Castle Connolly Medical, Ltd., and again this year as a Top Doctor by New Jersey Monthly.

Parvez Mahmood, MD, FACS Dr. Mahmood has been in practice in Ocean County since 1974. He received his training in New York City at Mount Sinai Hospital, New York University Medical Center, Bellevue Hospital Center and Memorial Sloan Kettering Cancer Center. He is currently an Adjunct Clinical Professor at Fox Chase Cancer Center and Clinical Assistant Professor at Rutgers Robert Wood Johnson Medical School. Dr. Mahmood is board certified in urology and is a Fellow of the American College of Surgeons.

AlexanderGotesman, Gotesman,MD MD Alexander Dr. Gotesman earned his medical degree from the State University of New York at Stony Brook and completed his urology residency training program at Mount Sinai Medical Center in New York in 2005. After graduation, Dr. Gotesman completed five years of clinical research in Urology and he currently specializes in adult and pediatric ambulatory urology. He maintains strong affiliations with many local and national medical societies and is a member of the prestigious Alpha Omega Alpha medical honor society. Dr. Gotesman has received several awards and recognition for his, patient-centered care philosophy. He Joined UUANJ in 2012.

WHAT IS A UROLOGIST? A urologist is a physician who has been trained to treat disorders of the male and female urinary tract (bladder, ureter, kidney, and urethra) and the male reproductive system. Urologists encounter many issues and must have knowledge of internal medicine, pediatrics, gynecology, and other specialties as they are used regularly. Urology is classified as a surgical subspecialty. A urologist with advanced qualifications in surgery may be a Fellow of the American College of Surgeons (FACS).

www.uuanj.com

The County Woman Magazine www.TheCountyWoman.com

March/April 2017

Featured on the Cover

Meet The Doctors Of University Urology Associates of New Jersey Imani Rosario, MD Dr. Rosario earned her medical degree from the Georgetown University School of Medicine and completed her post-graduate training in urology at Rutgers New Jersey Medical School. After completing her training, Dr. Rosario was appointed Assistant Professor of Surgery in the Division of Urology at Rutgers New Jersey Medical School. In this position, she was responsible for training and teaching medical students, general surgeons and urologists in training. Dr. Rosario is Board Certified by the American Board of Urology. She joined UUANJ in 2016.

HAMILTON 1374 Whitehorse Hamilton Sq. Rd. Hamilton, NJ 08690

HOWELL 2364 Route 9 South Howell, NJ 07731

Bob Peterson, DC, PA-C Mr. Robert Peterson is a retired Chiropractor and has been a Physician Assistant for 18 years. Mr. Peterson has been working with UUANJ for the last six years. He has been an Adjunct Associate Professor at Mercer County College for 10 years, teaching Biology, Pathology and Anatomy and Physiology, and an Assistant Professor at the Philadelphia University Physician Assistant Studies Program. He has also mentored other Physician Assistants and Licensed Practical Nurses. Bob joined UUANJ in 2011.

FREEHOLD 495 Iron Bridge Rd. Freehold, NJ 07728

TOMS RIVER 20 Hospital Drive Toms River, NJ 08755

“ The staff at University Urology have helped me and my family get through the most difficult time in my life. I had a biopsy after my PSA test came back abnormal. My wife and I were devastated to hear that I had prostate cancer. The doctors and physician assistants were very caring and knowledgeable. They gave me all my options and discussed the pros and cons of each treatment option. They walked us through the entire process and care plan and provided us with all the literature so we could refer back to it when needed. I couldn’t ask for a better team.” — B.B Howell, NJ

The County Woman Magazine www.TheCountyWoman.com

For Appointments (609) 581-5900 (732) 928-5300 UUANJ.COM March/April 2017

Health

Rhoda Kopy, Director 1541 Rt. 37 East, Suite E Toms River, NJ 08753 732-270-0080 www.HypnoForWomen.com

Wellness

Are Your Self-Comfort Strategies Helping Or Harming? -

Hypnosis for Women Professional Hypnosis & Coaching

These are stressful times for many people. The world, in general, seems to be topsyturvy. Add those more global stresses to life’s daily pressures and things can feel downright overwhelming. How you handle that pressure and stress can have an important impact on your well-being – and on the well-being of those who care about you. So, what do you do when you feel… Overwhelmed? Stressed? Angry? Grouchy? Lonely? Just plain negative? Here are the sorts of replies I often hear from new clients: • I eat junk. (This is one of the most common responses.)

• • • • •

I smoke more. I have a few drinks. I argue. I veg out. I isolate myself.

And the same responses keep getting replayed. Despite the fact that those habits cause more problems and aren’t good stress-busting solutions, you do them anyway, without focusing on consequences. But take a moment and consider potential outcomes:

• • • • • •

Make Your Mind Work FOR You – Instead of Against You! Rhoda Kopy is a nationally certified consulting hypnotist and wellness coach, with specialty certification is complementary medical hypnotism. She earned a B.S. degree in Biomedical Communications from Richard Stockton College of N.J., has an academic background in nursing, and 20+ years’ experience in community health education and coaching. Rhoda adheres to strict ethical standards of the National Guild of Hypnotists.

If I keep eating junk . . . . . . If I keep smoking . . . . . . If I overdrink . . . . . . If I’m argumentative . . . . . . If I constantly veg out . . . . . . If I continue to isolate myself . . . . . .

Think about what happens when you continue to resort to your usual pattern. You’ve heard the old saying (excuse the poor grammar), “If you always do what you always did, you’ll always get what you’ve always got.” When we take the same action over and over again in response to a stimulus (i.e., an emotion), neural pathways are formed in the brain. Through reinforcement and repetition, a habit is created. So, when you feel in need of comfort, you default to your usual habit – maybe junk food eating, or smoking, or drinking, etc. Maybe you recognize the absurdity of your comfort-seeking solutions, but feel unable to change things up. You are capable of changing, though; your mind is able to embed newer and better patterns. It takes a bit of effort, and

Hypnosis For Women ❀ ❀ ❀ ❀

Weight Control Smoking Cessation Relaxation/Comfort Fear Release

the use of the conscious and subconscious mind.

• Consider, first, if something in your life needs changing. Admit it – and work on it. Get some help, if

necessary, to make those changes. Talk to friends, a therapist, a coach, etc. • Think about positive comforting strategies. They’re different for everyone, depending on personality and interests. Some examples might be . . .

o Going out for a walk. o Taking a hot bath or shower. o Journaling your thoughts. o Having a soothing cup of tea. o Listening to music you enjoy. o Doing some stretches or yoga poses. o Knitting, painting, playing a musical instrument. • Make it easy to take those actions. For example,

keep a journal around, keep your workout clothes / sneakers in plain sight, have a variety of herbal teas available.

• Close your eyes and mentally rehearse using your improved comfort strategies. Notice yourself

taking the positive actions you plan to take. Mental rehearsal is a powerful strategy for making change. Notice the details. • Take steps to lower your overall stress level so that you’re better able to remain on an even keel and can handle life’s bumps; for example:

o Learn to do centering breaths (a.k.a., deep belly breaths or diaphragmatic breaths) o Pay attention to your negative self-talk and challenge it. o Get daily exercise – at least 30 minutes a day. o Practice mindfulness / meditation techniques.

If you would like personalized assistance to help you move forward, call me at 732-270-0080. Integrating hypnotic techniques and coaching paves the way for successful outcomes and boosts your sense of well-being.

Make Your Mind Work FOR You – Instead of Against You!

PROFESSIONAL HYPNOSIS AND COACHING SERVICE ❀ ❀ ❀ ❀ ❀

Focus/Concentration Sleep Improvement Studying/Testing Lifestyle Changes Interviewing/Auditions

❀ ❀ ❀ ❀ ❀

Athletics Public Speaking Flying/Driving Socializing Confidence

Make Your Mind Work For You – Instead of Against You

732-270-0080 • www.HypnoForWomen.com 1541 Rt 37 East, Suite E, Toms River, NJ 08753

The County Woman Magazine www.TheCountyWoman.com

March/April 2017

Travel

F AMI L Y T RAV E L

raveling with your family creates memories to last a lifetime, but planning a family vacation can be time-consuming, challenging, and expensive. But the TravelSmiths team looks forward to getting to know you and your family so we can create a perfect vacation that is tailored to your needs! We’re ready to take your trip from “great” to “once-in-a-lifetime!” Disney Travel- Disney has a lot to offer, and it’s not just for kids! We can help you plan a dream vacation – Team TravelSmiths has Authorized Disney Vacation Planner Experts just ready to get to know you and create a custom itinerary for your dream vacation. Whether you are interested in Cruising, Resorts, or Adventures, our travel consultants have the firsthand knowledge and experience to provide recommendations and access to exclusive deals. Cruising- Cruising for families has truly evolved. Gone are the days where kids were relegated to big-ship cruises or the kids’ club; these days, family cruising is about a singular experience where everyone can have fun, including the grandparents, mom and dad, and the kids of course. There are no limits to the types of adventures to be had, from fun-filled cruises in the Caribbean to awe-inducing cruises to the glaciers of Alaska. Destinations- Planning a vacation that will please everyone in the family might seem like a Herculean task, but choosing the right destination is the key. TravelSmith’s consultants know all about traveling with kids, and the places they’ve chosen are all great for family getaways. We have the personal experience to provid on-point recommendations, and we also have access to exclusive VIP deals and savings to help you get the most out of your budget, including:

• Complimentary hotel upgrades: Because of our relationships with hotels and resorts, we can often get additional space, features, and amenities for your family to enjoy. • Breakfast & meals for kids: Family meals can be challenging, but many properties offer complimentary breakfasts and options for kids to eat free. No more guesswork, and you can save some money too! • Resort & shipboard credits: We can often get you complimentary resort and onboard spending credits to be used for souvenirs, spa treatments, activities, photos, and more. • Transfers: Especially when traveling with kids, there’s nothing better than knowing your ride to the hotel is waiting for you after a long plane ride! We arrange private transfers to save you time and give you peace of mind.

TravelSmith’s Consultants are highly recommended by suppliers and clients alike-with over 30 years in the Travel Industry, we have received many accolades. Call today to schedule an appointment with one of our fantastic Travel Consultants.

www.TravelSmiths.com 732-899-8400 1100 Ocean Road (Rt 88) Point Pleasant, NJ 08742

SALLY JANE SMITH, PRESIDENT/CEO, CTA

Enter to Win

AUSTRALIA & NEW ZEALAND

Win an Air-inclusive 6 Night New Zealand & Australia vacation for Two from Monograms and Air New Zealand This Six Night Package Includes: • Roundtrip airfare from the USA to Sydney, Australia with a free stop in Auckland, New Zealand. • Three night stay at Crowne Plaza Auckland. • Three night stay at Rydges World Square hotel in Syndey. • Plus, amazing sight seeing in New Zealand and Australia. To enter for the vacation giveaway or for more information visit www.TravelSmiths.com

The County Woman Magazine www.TheCountyWoman.com

March/April 2017

Medical Professionals

The County Woman Magazine www.TheCountyWoman.com

March/April 2017

Meet The Physicians

Jill Collier, MD

Omar Tamimi, MD

Doctor Omar Tamimi joined the practice in 1992. He is Board Certified in Gastroenterology. He is a graduate of Rutgers University and University of St. George’s Medical School. His medical training was completed at Seton Hall University, St. Joseph’s hospital, Patterson, NJ. Since completing his medical training he has performed over 25,000 endoscopic procedures and has vast experience in all aspects of the practice of Gastroenterology. Doctor Tamimi had been a member of the executive committee at Kimball Medical Center since 2003 and served as the Chief of the Medical Staff from 2007-2009. Dr Tamimi is currently Medical Director of the Endoscopy Center of Ocean County. Doctor Tamimi and his wife Patty have three children with whom they are very involved. Doctor Tamimi enjoys outdoor sports, vacationing and spending time with his family and is a big fan of Rutgers sports teams and Bruce Springsteen.

Edgar Bigornia, MD

Doctor Edgar Bigornia is Board Certified in Gastroenterology. He is a graduate of Brandeis University and attended Medical School at SUNY Health Science Center at Brooklyn (Downstate) in New York. His Internal Medicine training was completed at Albert Einstein College of Medicine and he served as a Chief Medical Resident at Booth Memorial Hospital. His Gastroenterology fellowship was at New York Medical College. He is the recipient of the Lawlor Award for the best scientific paper submitted by a fellow at the American College of Gastroenterology meeting. He previously practiced in Poughkeepsie, NY. He enjoys outdoor sports with his family. He listens to all types of music and relaxes by playing the piano and guitar.

Jai Mirchandani, MD

Doctor Jai Mirchandani is Board Certified in Gastroenterology. He graduated from Johns Hopkins University and the University of Medicine and Dentistry-New Jersey Medical School. He completed his medical residency at the University of Illinois at Chicago, and his Gastroenterology training at New York Medical College in Valhalla, NY. He served as an attending physician and instructor at Maimonides Medical Center for three years, where he was the Director of Capsule Endoscopy, Director of the Colon Cancer Screening program, and the Assistant Program Director for the Gastroenterology Fellowship program. Dr. Mirchandani has presented half a dozen abstracts at the national gastroenterology meetings, and his work has won two awards at the American College of Gastroenterology. He is the author of a chapter published in “Curbside Consultation of the Pancreas.” Dr. Mirchandani and his wife, neurologist Lakshmi Nadiminti, D.O., are the parents of two young children. Dr. Mirchandani enjoys spending time with his family, listening to music and is an avid sports fan.

Call today to schedule your procedure in one of our tranquil and private endoscopy centers! We hope this enlightens you about the consultative gastroenterological services that we provide. We perform endoscopic procedures in the

473 & 477 Lakehurst Rd. Toms River, NJ 08755 732-349-4422

1617 Rte. 88 W. Brick, NJ 08724 732-349-4422

Doctor Jill Collier is Board Certified in Gastroenterology. She is a graduate of the University of Pennsylvania, where she was Phi Beta Kappa and Magna Cum Laude. She attended medical school at Mt. Sinai School of Medicine in Manhattan where she was elected to the honor society, Alpha Omega Alpha. Her medical residency was also completed at Mt. Sinai. Her Gastroenterology fellowship was completed at Montefiore Hospital/Albert Einstein College of Medicine in New York. She received extensive training in all aspects of Gastroenterology and has performed over 20,000 procedures. She has been chosen as one of “America’s Top Physicians” annually since 2007. Doctor Collier is currently Medical Director of the Endoscopy Center of Toms River. She was chairperson of the Division of Gastroenterology at Community Medical Center from 20102104. Doctor Collier and her husband Douglas have two children. She enjoys skiing, reading, traveling and being involved with her children’s activities.

Kenneth Glazier, MD

Doctor Kenneth Glazier is Board Certified in Gastroenterology. He graduated from the University of Michigan and Northwestern University Medical School. He completed his medical residency at Boston City Hospital and his training at Columbia University College of Physicians and Surgeons in Manhattan then Robert Wood Johnson Medical School in New Jersey. He has extensive experience in the treatment of Inflammatory Bowel Disease at the Crohn’s and Colitis Center of New Jersey and published a manuscript on the use of 6MP in treating Crohn’s disease. He is presently a Clinical Assistant Professor of Medicine at Rutgers-Robert Wood Johnson Medical School and joined the group after five years in private practice in the Marlboro-Freehold area. Dr. Glazier is currently Chairperson of the Subsection of Gastroenterology at Community Medical Center. Doctor Glazier and his wife, pediatrician Kim Glazier, MD, are the parents of two children. Dr. Glazier enjoys sports including golf and softball.

The doctors and staff of Gastroenterologists of Ocean County would like to congratulate Dr. Allan Cohen upon his retirement after 35 years of service to his patients and the community. We wish to ensure a smooth transition for all Dr. Cohen’s patients and will continue to provide high quality and seamless gastroenterology care. convenience of our two office based endoscopy centers. We aim to provide the highest quality of compassionate medical care and perform endoscopies in a convenient, friendly, non-threatening office setting. We serve patients from many different backgrounds, which is mirrored in the diversity of our physicians.

939 Lacey Rd. Forked River, NJ 08701 609-971-5949

7 Sherwood Dr. Lakewood, NJ 08701 732-367-3338

www.GastroOfOcean.com

The County Woman Magazine www.TheCountyWoman.com

March/April 2017

Exterior Improvement

Built Rite Windows is the window installation and replacement window specialist in Central NJ, Ocean County and Monmouth County. Their experienced staff will help you determine the window type and style that best fits your home. They sell and install the highest quality products at the most reasonable prices, with full service included. All products meet Energy Star Requirements. A second-generation family owned business; Built Rite Windows is owned and operated by Lucia and Ron Dambrosio. Lucia, who is involved in local charities, and Ron, a Vietnam Vet, has served the Jersey Shore area for over 37 years. Luciaâ&#x20AC;&#x2122;s son, John, is responsible for sales and her son, Vincent, is responsible for installations. You can also find Ron installing windows, that is, when he is not on the golf course.

MORE THAN JUST WINDOWS If your looking for additional year round comfort, check out their patio enclosures, sunrooms and decks. Come visit Built Rite Windows at their new location: 1591 Rt. 37 W, Toms River, NJ, Monday - Friday 9:00 AM - 5:00 PM, and Saturday 10:00 AM - 2:00 PM www.builtritewindows.com

The County Woman Magazine www.TheCountyWoman.com

March/April 2017

Fashion

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March/April 2017

Health &Wellness

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March/April 2017

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March/April 2017

Fine Art Photography

The County Woman Magazine www.TheCountyWoman.com

March/April 2017

Medical Professionals

In our rush to experience the world, whether it is through educational, work, or travel opportunities, many women are choosing to delay childbearing until later in their lives. When the time does arrive and they are considering getting pregnant, women may be surprised to learn that their age directly impacts the likelihood to conceive on their own.

When is it time to think about having children?

Planning for a pregnancy should not be limited to the attempted time to conceive. Rather it should include proper pre-pregnancy nutrition and vitamin intake, recommended daily physical activity, and an overall healthy lifestyle. In addition, an understanding of a woman’s “fertility clock” should be an integral complement to this preconception care model.

How common is infertility and when does my fertility start to decrease? Infertility affects 1 in 8 couples in the United States. Many causes of infertility exist, stemming from both the female and male perspective. A “fertile couple” has approximately a 20% chance of achieving pregnancy in a given month, with 85% achieving pregnancy over the

“Fertility is Finite” course of 1 year. Research shows that maximum female fertility is seen between the ages of 20 and 24, after which time female fertility begins to decline, albeit at a slow rate, until age 30.

planning for pregnancy. Increases in medical knowledge and technological advancements allow the use of medications to maximize pregnancy rates, and enable fertility clinics to freeze eggs if wanting to delay childbearing, or create embryos that may be cryopreserved for later use.

When should I start to be concerned Should I freeze my eggs? about my fertility chances? If you are considering delaying your childbearing into

A woman is born with a finite number of eggs, and as a woman ages, so do her eggs. It is this “ovarian aging” that contributes to the observed decrease in female fertility and overall egg quality. At the age of 30, there is a shift in egg aging that may make it more difficult to achieve pregnancy, and after the age of 35, this rate further increases, and the chance of pregnancy continues to decline at a faster rate. It is for this reason the American College of Obstetricians and Gynecologists (ACOG) recommends that a female ≤35 years of age attempting pregnancy seek a formal infertility evaluation if unsuccessful after a period of 12 months, and if >35 years of age, after 6 months of trying.

your 30s, then it becomes vital to consider your biological clock. Elective fertility preservation involves stimulation of your ovaries with medications and retrieval of your eggs in an office setting. Your eggs can then be cryopreserved and stored for later use. At the Reproductive Science Center of New Jersey, we are available to answer your fertility questions, perform a complete fertility evaluation, and present you with individualized options for conception, all in a comfortable, caring setting. We are a full-service fertility center experienced in all the latest technologies and look forward to helping you achieve success.

For more information call our Toms River office number at 732-240-3000.

What are my fertility options?

Whether a woman is attempting pregnancy in her 20s, 30s, or 40s, an understanding of her pregnancy chances is necessary to formulate a plan for success. Hormonal testing and formal fertility evaluation can accurately assess ovarian function, and may influence a woman’s timeline to begin

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March/April 2017

Medical Professionals

A Natural Lift Restores Your Look To The Way You Feel We believe outer beauty enhances our inner beauty as well as boosts self-confidence and esteem. A Natural Lift restores youth and beauty to your appearance by subtle changes to your cheek and neckline contour. Often 7-10 years or more of youthfulness is restored with a treatment that is meticulously performed to make it essentially unnoticeable. A Natural Lift procedure works by returning facial tissue to its younger original position, and the skin is then gently positioned, resulting in a natural, supple and smooth appearance. The procedure takes approximately 2 hours. Your procedure is handled with extreme care, which minimizes bruising and facilitates prompt healing. Dr. Stephen Small, a board-certified plastic surgeon, has the experience of hundreds of face and neck lifts to personalize your treatment for you. As a consequence, you will have a result that is natural, a Natural Lift, and doesn’t have the telltale signs of a traditional facelift. When choosing something as important as your face and appearance, choosing a surgeon Submitted by with experience and training is important, but you also need to have a good rapport. Our Dr. Stephen E. Small, consultations are complimentary so you can meet the doctor and understand what can be done Board Certified Plastic Surgeon for you, while reviewing our before and after results. Dr. Small understands what it is like to be a patient as he had an injury as a young child and was cared for by a plastic surgeon. He became a plastic surgeon to holistically help others to enhance or restore their natural beauty. As a result, we strive to make this an affordable investment in you so that truly anyone seeking our care can benefit. Maybe you don’t need a lift but would like to maintain great skin or soften some fine lines that might be developing around your eyes, cheeks or mouth. We have an exciting new way to add youth to your skin. This treatment is called PicoResolve. This is an amazing treatment in which new collagen and elastin are restored to your skin. This treatment can help maintain youth and beauty while adding to it. There is no downtime except some mild redness to the skin for about 24 hours. We recommend at least two treatments at about 6-week intervals. We are seeing fantastic results even after one treatment in the form of fine line softening, elimination of brown spots (evening skin color), and improved skin tone. PicoResolve is our go-to treatment to improve skin quality.

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March/April 2017

Health & Wellness

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March/April 2017

Law

Ask Daniel Straffi, Jr. Esq.

Is Bankruptcy An Option? Look Out For These Signals tax consequence, with nothing to fall back on. Bankruptcy could potentially protect these assets so that those years of savings do not dwindle away.

“Who do I choose to pay this month?”

Answer:

scary, yet common question many people are forced to ask themselves on a regular basis. With unemployment steadily high and the number of under-employed folks even higher, the nature of today’s economy has left the majority of people grappling with difficult financial questions such as the one posed at the beginning of this paragraph. This is especially in New Jersey where the cost of living is amongst the highest in the country. When is it time to consider bankruptcy as an option? The following are some signals to look out for:

1. “ROBBING PETER TO PAY PAUL.”

Credit cards are often a necessary evil. In a perfect world, we would all use our credit cards sparingly and with discretion, allowing ourselves the opportunity to pay for a family vacation or a special gift over time. Unfortunately, in today’s down economy, the luxury of credit has turned more into a staple of survival. People have no choice but to use credit to put food on their table and purchase gas to go to work. This begets then having to use credit to pay for existing credit obligations, or “Robbing Peter to Pay Paul” as it is known. For many, it is a merry-go-round that simply will not stop. Bankruptcy may be an option for stopping this whirlwind ride.

2. LIQUIDATING RETIREMENT SAVINGS JUST TO GET BY.

It’s tough to think about the future when the present can be so burdensome financially. For many of the people I meet with, their future is now. They naturally seek to tap into whatever funds are available in order to stay above water. As a result, people can tear through years of hard-earned savings, often at a great penalty and

3. FALLING BEHIND ON MORTGAGE AND HOME EQUITY LINES.

Falling behind on mortgage and home equity lines - The most straightforward and clearest schedule signal of financial distress. When our rock, our shelter, comes under attack, difficult decisions must be made as to whether a home is salvageable and/or worth investing further into. Bankruptcy can often be an option for saving a home. However, as has become increasingly common, it can also be a way of getting out from underneath it.

4. MINIMUM PAYMENTS - MAXIMUM EFFORTS.

With the way interest rates on credit card have risen today, people are at a loss to explain how they can pay so much for so long and have the same exact balance due from years prior. Disposable income is tight in today’s economy – there is only so much to go around after we pay our food, gas and whatever keeps the lights and heat on in the home. This is to say nothing of actually considering some form of savings. If all of one’s disposable income is going toward just staying above water with respect to minimum fees, bankruptcy may be an option to consider.

5. WHEN THE EMOTIONAL STRAIN STARTS IMPACTING OTHER AREAS OF ONE’S LIFE.

When the emotional strain starts affecting other areas of one’s life - I often tell clients that 50% of what I do is relieving financial stress and the remaining 50% is relieving emotion. The effect of falling behind on bills can have a far reaching effect on people well beyond the financial ramifications. It can effect how we treat our spouses, our children, our co-workers, and perhaps most common – how we treat ourselves. Lack of sleep, depression, poor eating habits – there are many ways that financial distress can materialize in our own lives. It’s important to take a step back, acknowledge the signs, and be proactive in taking action. I hope that this article was helpful in trying to acknowledge the signs of financial distress in order to take the next step in evaluation your options, including bankruptcy. Your overall quality of life and well-being may depend on it! Call today for a free consultation!

For more information or to schedule an appointment, Contact : Daniel Straffi Jr. at 670 Commons Way Toms River, NJ,

CALL: 732-341-3800 or Daniel Straffi, Jr., Esq. VISIT: www.straffilaw.com Protect Yourself Against Foreclosures, Judgments, & Harassing Creditors

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Lorraine Fetherman, L.E., C.P.E. Debbie Matusas, L.E., C.P.E. Not Pictured: Barbara Stoll, L.E., C.P.E. 2510 Belmar Blvd. Wall, NJ 07719

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732-948-9547 www.bhairfree.com March/April 2017

Medical Professionals

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March/April 2017

Business

&Finance

Service Is Our Specialty Founded in 1986, Copies Plus takes pride in serving as South Jersey’s premier office equipment company with over 30 years of experience servicing clients just like you. Our continued success is the result of a total commitment to a customer satisfaction and loyal customers who refer Copiers Plus to others. We are grateful for their continued support and look forward to building new relationships well into the future.

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For more info contact: Robert Matthews 609-645-7587 • info@copiersplus.com

The County Woman Magazine www.TheCountyWoman.com

March/April 2017

Medical Professionals

Colorectal Cancer: Are You Aware? What’s The Big Hype? Nina Paonessa, DO, FACOS, an established colorectal surgeon practicing in Ocean and Monmouth Counties, answers questions about colorectal cancer, one of the leading cancers in both men and women.

sedation. Based upon the findings on colonoscopy, your colorectal surgeon or other specialist may recommend other testing such as blood work, a CT scan of the abdomen and pelvis, pelvic MRI and/or ultrasound.

How common is colorectal cancer and who is at risk? Colorectal cancer is the second most common cancer in the United States among both men and women. It affects 140,000 people annually and causes 50,000 deaths. The average person has a one in 20 chance of developing colorectal cancer in his/her lifetime. This risk is increased if there is a family history of colorectal polyps or cancer, and is even higher still in those patients with a history of breast, uterine or ovarian cancer, and patients with a history of extensive inflammatory bowel disease such as ulcerative colitis or Crohn’s colitis. Additionally, a person’s risk for developing colorectal cancer increases significantly with age.

How is colorectal cancer treated? Nearly all cases of colorectal cancer require surgery. Radiation and chemotherapy are sometimes required in addition to surgery. If the cancer is diagnosed and treated in the earliest stages, approximately 80-90% of patients are restored to their normal health. The cure rate decreases to 50% or less when the cancer is diagnosed in the later/advanced stages. Less than 5% of all colorectal cancer patients require a colostomy or “bag,” thanks to modern technology. Dr. Paonessa prides herself in being able to maintain this standard of care in her own practice. Not only is she able to minimize the number of colostomies/”bags” created for her patients, but she performs a majority of her colorectal cancer surgeries using laparoscopic surgery. Laparoscopic colorectal surgery is a minimally invasive surgery in which small incisions are made to perform major surgery. This allows for shorter hospital stays, decreased incisional pain and earlier return to work and other activities.

What causes colorectal cancer? It is generally agreed that nearly all colon and rectal cancer begins in benign polyps, called adenomas. These pre-malignant polyps, or growths, occur in the wall of the colon and/or rectum and may eventually increase in size and become cancer, or medically speaking, carcinoma. This is known as the “adenomacarcinoma sequence.” Several factors have been mentioned in the literature that may increase a person’s risk for developing colorectal cancer and include: age, a diet high in fat and cholesterol, an inactive/sedentary lifestyle, obesity, smoking and environmental exposures. What are the symptoms of colorectal cancer? Unfortunately, polyps and early cancers do not produce any physical signs or symptoms. Therefore, symptoms usually indicate late or advanced disease. The most common symptoms of colorectal cancer are rectal bleeding and changes in bowel habits such as constipation or diarrhea. These symptoms are common in many other disorders of the gastrointestinal tract so it is very important to have a thorough examination should you experience them. NOT ALL RECTAL BLEEDING IS DUE TO HEMORRHOIDS. It is very important for patients to remember this and seek evaluation if they are experiencing rectal bleeding. Other symptoms such as abdominal pain and weight loss are usually late symptoms and quite possibly indicate advanced/ extensive disease. How is colorectal cancer diagnosed? Evaluation of colorectal cancer is first begun with a complete history and physical exam, including a digital rectal exam and possibly testing the stool for blood. A colonoscopy is the most definitive test used to diagnose colorectal cancer. A colonoscopy is performed by a colorectal surgeon or other specialist in order to get a direct visualization of the inside of the colon and rectum. A colonoscopy is a safe, painless, outpatient procedure performed under a light Board-certified in general surgery and proctology and a fellow of the American College of Osteopathic Surgeons, Dr. Paonessa specializes in colon and rectal surgery. She believes in patient-centered care and preserving each patient’s independence, well being and dignity.

Can colorectal cancer be prevented? Colorectal cancer is one of the few cancers that is preventable. Obtaining a screening colonoscopy at regular intervals is the single best way to prevent colorectal cancer. Your colorectal surgeon or specialist is able to review the guidelines for screening colonoscopy based upon your age, medical history and family history. Although not definitively proven, studies published in the literature mention additional factors that may lower your risk of developing colorectal cancer and include: eating a high-fiber, low-fat diet, maintaining a healthy weight, and engaging in regular, vigorous exercise.

Colon and Rectal Surgery

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1172 Beacon Avenue, Suite B Manahawkin, NJ 08050

Phone: (732) 282-1500 Fax: (732) 282-1501

Office Hours: M-F 9AM to 5PM

www.paonessacrs.com March/April 2017

Medical Professionals

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March/April 2017

Medical Professionals

“Why Did I Get Cancer, Doc?”

Ocean Hematology & Oncology Center for Cancer & Blood Disorders

Submitted by Sarah J. Easaw, MD, FACP

This is a question I hear at least once a day. Whether it is Mark, who was diagnosed with leukemia at age 45, or Marge, who was diagnosed with colon cancer at age 80, or Mary, who was diagnosed with breast cancer in her thirties, they all have the same question, ultimately: “Why me? Why did I get cancer? How long did I have it? What could I have done to prevent it?” The answer is not simple. Scientists have been researching for decades to find the answer to this question. In fact, there is no one simple explanation to why one person developed cancer, while another person in the same environment and genetic background may not develop it in his or her lifetime. But scientists have found links between certain things and the development of cancer. It is known that cancer is caused by changes in one’s DNA. DNA is a component of the nuclei in the cells. When the DNA is damaged somehow, it makes the cells multiply in abundant numbers. Usually, abnormal cells that are made in the body are destroyed by the body’s own defense mechanism, a process called ‘apoptosis’ or programmed cell death. When there is a defect in apoptosis, cells accumulate and become tumors. The damage to the DNA can be caused by several factors. There are some changes or mutations that are inherited and are present from birth, which can later make a person susceptible for cancer. Only a small percentage of cancers develop this way. In the majority of cases, certain environmental factors play a major role. Some factors that play a role in the development of cancer are: • Lifestyle factors (nutrition, tobacco use, physical activity, etc.) • Naturally occurring exposures (ultraviolet light, radon gas, infectious agents, etc.) • Medical treatments (chemotherapy, radiation, immune system-suppressing drugs, etc.) • Workplace exposures • Household exposures • Pollution Substances and exposures that can lead to cancer are called carcinogens. Some carcinogens do not affect DNA directly, but lead to cancer in other

ways. For example, they may cause cells to divide at a faster than normal rate, which could increase the chances that DNA changes will occur. Carcinogens do not cause cancer in every case, all the time. Substances labeled as carcinogens may have different levels of cancer-causing potential. Some may cause cancer only after prolonged, high levels of exposure. And for any particular person, the risk of developing cancer depends on many factors, including how they are exposed to a carcinogen, the length and intensity of the exposure, and the person’s genetic makeup. There are several substances that are proven to be carcinogens. Still others are felt to be involved with a high risk for cancer, but their role is not substantially proven. The International Agency for Research on Cancer (IARC) is a part of the World Health Organization (WHO) that works on identifying causes of cancer. IARC classifies potential carcinogens into five different groups, depending on the level of evidence that links each to the cancer. Some of the known Group 1 carcinogens are: alcohol, afflatoxins, benzene, coal tar, hepatitis C virus, radioactive materials, tobacco smoking, etc. A detailed list of the carcinogens is available on the American Cancer Society’s website, cancer.org. Even though exposure to carcinogens increases the chance of developing cancer, a variety of other factors also play a role. While most of it is beyond our control, there are some things which a person can do to reduce their chance of getting cancer. 1. Practice a healthy lifestyle and good dietary habits. Eat more fruits and vegetables and lower the amount of fatty foods. 2. Exercise daily. 3. Avoid obesity. 4. Quit smoking. 5. Avoid excessive alcohol use. 6. Avoid prolonged exposure to sunlight. Use protective sunscreen. 7. Get regular medical check-ups for screening. This includes screening mammogram, PAP smear, colonoscopy, chest CT in heavy smokers, and dermatology evaluation for screening against skin cancer.

If you have any questions about any cancer-related questions, please contact Dr. Sarah J. Easaw at 732-961-0010 or visit www.oceanhemonc.com.

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Compassionate Care, Close to Home  We offer a full range of Hematology and Oncology services.  We are dedicated to providing state-of-the-art cancer care in a warm and personalized manner.  Our newly renovated, spacious infusion room provides a peaceful and friendly atmosphere to patients while they receive chemotherapy and other infusions.  We have a highly qualified, experienced and compassionate staff.

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1255 Route 70, 31S Near Exit 88 on GSP

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Sarah J. Easaw MD, FACP

Diplomate of the American Board of Hematology, Oncology & Internal Medicine

March/April 2017

Medical Professionals

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March/April 2017

Medical Professionals

DR. KATHY A. BANKS Your expert in the face, mouth, and jaws

Would you like to smile with confidence? See Dr. Banks to discuss your dental implant solution. There is no need to suffer any longer with broken down teeth and ill- fitting dentures. From single implants to whole arches, let Dr. Banks help you get the smile you want!

Have you been told that you are not a candidate for dental implants? Get a second opinion with Dr. Banks. She will carefully review and discuss your implant and bone grafting treatment options using 3D imaging and virtual implant software planning.

Do you think you can’t afford dental implants? See Dr. Banks! All phases of implant surgery can be comfortably and conveniently performed in the office. Intravenous and general anesthesia available. Payment options available and we work with many dental insurances.

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March/April 2017

Medical Professionals

TIRED OF YOUR UGLY AND FAILING DENTAL BRIDGES? FED UP WITH YOUR DENTURES? ARE YOUR TEETH A CONSTANT SOURCE OF PAIN AND EMBARASSMENT? You don’t have to live like this anymore!

REVITALIZE® YOUR LIFE Diane’s result (dentistry by Dr. V. Felici)

A RECENT SUCCESS Diane was suffering. She was sick and tired of the pain and embarrassment of loose dentures and messy denture adhesives. Her dentures seemed to control her life.

In one day, Diane’s life was changed. Now, Diane is pain free, with secure and beautiful upper and lower teeth. NO more dentures! No more adhesives! Diane can now chew and smile with confidence.

Dr. Kathy A. Banks is one of the most experienced oral and maxillofacial surgeons in Ocean County providing dental implant surgical services. With Revitalize®, or “all- on-four” treatment, old dentures, missing teeth and failing dental restorations are replaced with new teeth that are connected to dental implants. At the same time, the dental implants are placed into the jaws, giving patients immediate results.

Call today and schedule an appointment: 609-488-2325

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Jimmy’s result (dentistry by Dr. D. Federici)

A RECENT SUCCESS Jimmy was suffering from painful, broken teeth. His dental bridges were failing and he was sick and tired of the pain and embarrassment of his unattractive teeth.

In one day, Jimmy’s life was changed. Jimmy is now pain free, with secure and beautiful upper and lower teeth. Now, Jimmy can chew and smile with confidence.

March/April 2017

In-Home Care

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March/April 2017

Medical Professionals

Dr. Sumy Chang: Make Breast Health Awareness a Commitment If you’ve ever worried about getting breast cancer, you’re not alone. As one in eight U.S. women will face a breast cancer diagnosis in their lifetime, chances are either you or someone you know will be diagnosed. On a positive note, breast cancer is the most treatable cancer and survivorship is on the rise. Fellowship trained Sumy H. Chang, MD, FACS, a board-certified general surgeon dedicated to breast health, reminds women to make breast health awareness a year-round commitment. A member of Barnabas Health Medical Group, in partnership with Community Medical Center, Dr. Chang provides Ocean County women with access to the latest in prevention, detection and treatment for breast-related issues – including breast cancer. She is also the Director of the High Risk Breast Program at the Jacqueline M. Wilentz Comprehensive Breast Center at Monmouth Medical Center in Long Branch. Here, Dr. Chang answers some of the most common questions about breast cancer.

Q: What can I do to avoid breast cancer?

A: The key is to find abnormalities

at the earliest stage possible – when there are more treatment options and chances for a better outcome. Be vigilant about your breast health by conducting regular self-breast exams and reporting any changes to your doctor. For women with dense breast tissue, it can be difficult for a physician – who exams a patient’s breast once a year – to say if there’s something new or not. Patients taking charge of their own health really come into play. Many of my breast cancer patients with dense breast tissue are women who have detected changes on their own.

the breast. Therefore, there is no hair loss as a result of radiation therapy.

A: Despite the recent ACS guidelines

We still diagnose a fair amount of breast cancer in the 40-45-year-old age group. In this age range, the breast cancer is usually a more aggressive form. While there’s no way to predict who will get breast cancer, detecting it early will lead to less toxic treatment.

Q: Will I need a mastectomy?

options?

that recommend women should begin screening at age 45, women at “average” risk – those who have no family history of breast cancer – should begin regular mammogram screenings at age 40. Mammograms are still the best screening tools available to detect breast cancer. Detecting breast cancer at an

Dr. Chang is affiliated with Community Medical Center in Toms River and the Jacqueline M. Wilentz Comprehensive Breast Center at Monmouth Medical Center in Long Branch and Monmouth Medical Center, Southern Campus in Lakewood. To schedule an appointment with Dr. Chang, contact:

For more information, visit www.BarnabasHealthMedicalGroup.org. early stage may also spare more women from undergoing chemotherapy.

Fellowship Trained Breast Surgical Oncologist

Jacqueline M. Wilentz Comprehensive Breast Center at Monmouth Medical Center 300 Second Avenue Long Branch, NJ 07740 732.923.7702

Barnabas Health Medical Group is a multi-specialty group practice comprising highly trained and experienced world class primary and specialty care physicians. Barnabas Health Medical Group physicians provide compassionate and innovative cutting edge care for people at every stage of life at easily accessible facilities conveniently located throughout New Jersey. Backed by the vast continuum of resources throughout RWJBarnabas Health, our dedicated physicians and expertly trained supporting staff continuously strive for clinical excellence.

Q: What are the best screening

Sumy H. Chang, MD, FACS

Community Medical Center 67 Highway 37 West Riverwood 1 Building, First Floor Toms River, NJ 08755 732.557.2153

About Barnabas Health Medical Group

Jacqueline M. Wilentz Breast Center 600 River Avenue Lakewood, NJ 08701 732.923.7702

Women with dense breasts may opt for 3D mammography (tomosynthesis), an advanced type of mammogram that can offer better cancer detection.

Q: Will I need chemotherapy?

A: Some patients will absolutely need chemotherapy, also known as chemo. However, for the majority of our patients, whose cancer was detected on mammograms, chemo is usually not necessary. We determine if chemo is needed after surgery when we can see the size of the tumor and whether lymph nodes are affected. In some cases, we perform additional testing on the surgically removed tumor to determine whether chemotherapy will help the patient. Q: Will I lose my hair with chemo and radiation?

A: It depends on the chemo regimen

used. Some chemo drugs do not cause hair loss, but the majority of breast cancer patients lose their hair temporarily. In extremely rare cases, patients may experience permanent hair loss, although I haven’t seen this in my patients. Radiation treatment is only on

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A: That depends on a number of factors. One factor is tumor size in relation to breast size. If there’s a little lemon-size tumor in a B-cup breast, we may opt for a mastectomy. A lumpectomy in this scenario may result in a distorted look and significant asymmetry for the patient to feel comfortable with. I know patients will care about aesthetics once their treatment is done and as a breast cancer surgeon, my goal is to remove the cancer while maintaining the best aesthetic outcome for the patient. Another point is that following a lumpectomy, radiation treatment is recommended for most patients. However, some patients may not want radiation, or they’ve already had radiation to the breast and will need a mastectomy. Some patients may need mastectomy if they have multiple cancers in one breast.

Q: Will my health insurance

cover breast reconstruction?

A: Yes. Reconstruction is covered not only for the side of the breast with cancer but the other side to achieve symmetry. I work closely with my patients so that patients are referred to see a plastic surgeon prior to surgery so we can start the reconstruction process immediately if the patient chooses to have it.

March/April 2017

Community

www.TheCountyWoman.com The County County Woman Magazine Magazine www.TheCountyWoman.com The

January/February 2017 March/April 2017

Medical Professionals

Carotid Stenosis: A Potential Killer Full image of normal carotid artery and plaque filled artery.

A friend of my parents’, Linda, came to me with a problem. Lately, she has been dizzy with partial loss of vision in her right eye. When her doctor examined her, he heard an abnormal sound in her neck (called a “bruit”). His concern was she had carotid artery stenosis and was at risk to have a stroke. Her doctor recommended a carotid ultrasound. Upon hearing this, Linda was very worried and wanted to know more.

Q: What is the carotid artery? What is stenosis? A: We have two carotid arteries located on each side of our neck. It is the pulse we feel when we lightly press on the side of our neck. The carotid arteries carry blood from the heart to the brain. Over time, a waxy substance called plaque can build up in the carotid arteries. Plaque is made up of fat, cholesterol, and blood cells. This plaque can harden and start to calcify. Plaque building up can narrow the inside of the vessel decreasing the amount of blood going to the brain. This is called stenosis and can lead to a stroke. Another fear is that a piece of plaque will become loose and travel with the blood to the brain. This can also lead to a stroke. Q: What causes this plaque build up? A: The mechanism of plaque build up is complex. However factors that accelerate plaque build up and stenosis include high blood pressure, high cholesterol and fat in the blood, smoking, and diabetes Q: What are the symptoms of carotid stenosis? A: Sometimes there are no symptoms and the condition is instead detected during a physical exam. Sometimes carotid stenosis can cause a person to have dizziness or vertigo. Sudden partial loss of vision can be from plaque dislodging from the carotid artery wall and traveling to occlude the blood supply of the eye. In severe cases, a patient can present with small, temporary strokes called transient ischemic attacks (TIA). The danger of TIAs is that they often lead to much larger, potentially debilitating strokes. Q: What is a carotid ultrasound? A: An ultrasound is a machine that uses sound waves to see inside the body. A probe is placed on the body.

Sound waves are transmitted and received by the probe and a computer creates pictures of the body. This works much like sonar on a submarine. Ultrasound is extremely safe, and uses no radiation. The test is inexpensive and it can detect blood flow in real time. The ultrasound can detect plaque and the degree of narrowing inside the blood vessel. It can also detect direction and speed of the blood flow. Treatment can be implemented to decrease the amount of plaque and restore blood flow. Q: How is this test performed? A: All jewelry around the neck is removed. It is recommended for our patients to wear open neck shirts. The patient lies on a table, facing upwards. The ultrasound technologist places the probe on both carotid arteries and takes pictures. A radiologist interprets these images. Q: Are there any other tests that can detect stenosis? A: Sometimes the blood vessels are very tortuous which limits detailed evaluation. Also, the ultrasound cannot see the blood vessels when it enters the skull on its way to the brain. In such cases, a CT scan or MRI can be performed to image the carotid arteries. Q: If I have stenosis, what can I do? A: If the amount of plaque is mild and not causing significant stenosis, medications can be used to reduce the amount of cholesterol and fat in the blood as well as to control blood sugar. Exercise is highly encouraged. Smoking cessation is a must! If the stenosis is critical, a vascular surgeon maybe needed to clear the blocked arteries.

Normal carotid artery without stenosis.

Small amount of plaque in the carotid artery which is beginning to narrow the blood vessel.

A large amount of plaque causing stenosis and Impeding blood flow.

Call our office at 732-244-0777 and our staff can assist you. As always, contact our office where our staff will be more than happy to assist you.

About The Author...

Dr. Cyrus Khorrami is an Ocean County native who attended kindergarten through twelfth grade in Toms River. He is a graduate of Temple University Medical School and completed his radiology residency at Cooper University Hospital. Dr. Khorrami completed a Cross Sectional Imaging Fellowship at Johns Hopkins Medical Center. He has returned to Toms Ricer to work with his family as Medical Director of Toms River X-Ray, CT, and MRI Center.

732-244-0777 • PET/CT • Diagnostic X-Ray • Ultrasound • Digital Mammography • CT Scan • Nuclear Medicine • High Field Open Bore MRI • Bone Densitometry

Deer Chase Professional Park • 154 Route 37 West • Toms River, NJ 08755 Cyrus Khorrami, M.D.

Tel: 732-244-0777 • Fax: 732-244-1428

www.TomsRiverXray.com5

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PARVIZ KHORRAMI, M.D. Founder CYRUS KHORRAMI, M.D. Medical Director PARVIN MOTEMADEN KHORRAMI, M.D.

EXPERIENCE & EXPERTISE you can count on. March/April 2017

Outdoor Living

The Mosquito Authority…Your Life Minus Mosquitoes!! Submitted by Bryan and Chris Madigan

What to expect

We are the Madigans…The proud owners of The Mosquito Authority (TMA) of the Jersey Shore. As school administrators in Toms River for the past 20 years, education and working with children has always been our passion. As owners of TMA, our passion for education and working with children continues to thrive! Our service focuses on educating members in our community about the potential harmful diseases that mosquitoes can transmit and precautions that homeowners can take to prevent mosquito exposure and ideally protect their family and loved ones.

When our trained and state-certified Applicator arrives to your home or business, he or she will apply larvicide/adulticide to your yard. This eliminates all mosquitoes and their habitat within 30 minutes. You can enjoy your mosquito-free yard as soon as it dries! Typically, within 30 minutes! The Applicator will leave your home with a TMA door hanger and yard sign on your mosquito-free yard.

What does it cost?

Our “Repel Plus” service is proudly partnered with Bayer® and is the approved mosquito protocol of the Centers for Disease Control and Prevention (CDC). We currently completed our third year servicing home-owners, day care centers, parks, and businesses throughout Ocean County. Our company is backed by over 10 years of professional mosquito/tick control throughout the country. Our service will give you the opportunity to enjoy a MOSQUITO-FREE yard from Spring to Fall! You can enjoy barbeques and family gatherings without being driven inside to avoid those persistent biting pests! Because the mosquito is the deadliest animal on the planet, you will be protecting your loved ones from the harmful diseases that mosquitoes transmit. And we’re including your furry family members as well!! A mosquito bite to a dog/cat can potentially result in heartworm.

Recurring Service (every 21 days) is only $79! With our recurring service, if anyone gets a mosquito bite within those 21 days, we will come out and respray... free of charge!

Having a backyard party or event?

You don’t have to stress about bugs biting your guests! Try our One-Time Event spray for just $99!!

If you belong to a community group, club or team and would like for us to give an Educational Presentation about mosquito life, habitat, prevention and service… give us a call! 732-797-1617 The Mosquito Authority • 530 Fischer Blvd. • Toms River, NJ 08753 Community

A Ocean County Female Star

Stephanie Lauren (Ascough) is a woman who dealt with spinal scoliosis to nearly a handicapping degree (40 degrees) for most of her life. This problem, coupled with her desire to be the best gymnast she could be, led to small stress fractures in her lower back. However, Stephanie became a strong woman who overcame her adverstities and was finally able to become the best she always wanted to be. Below is some of her accomplishments which are incredible comparing to how many obstacles she had to overcome to get where she is today! Founder of PLYOGA Fitness (taught by over 1000 trainers in 6 countries) accredited by the worlds leading fitness education bodies. Stephanie was featured on Jillian Michael’s fitness show Sweat Inc, a recipient of the National Fitness Awards and is a international fitness presenter. Her greatest accomplishment we think here at the Ocean County Woman is being a mother to two children (Savannah & Cameron) that she delivered naturally without numbing agents. We can say Stephanie is a type of woman who looks at a challenge dead in the eye and gives it a wink. Congratulations on your transformation into an empowering strong woman! For more information about Stephanie’s fitness program visit www.PLYOGAFitness.com

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March/April 2017

Medical Professionals

Human Papillomavirus (HPV): Dr. Nonna Kolomeyevskaya Explains How to Protect Yourself and Your Family publications in peer-reviewed journals. She received the Roswell Park Cancer Institute Award for the Best Basic Science Report. Dr. Kolomeyevskaya (called Dr. K or Dr. Nonna by her patients) discusses some of the latest information on preventing, diagnosing and treating gynecological cancers:

Nonna V. Kolomeyevskaya, MD Gynecologic Oncology Dr. Kolomeyevskaya is affiliated with Monmouth Medical Center in Long Branch and Community Medical Center in Toms River. She practices alongside Dr. Thomas Hackett. To schedule an appointment with Dr. Kolomeyevskaya, contact: 3349 Highway 138 East Building B, Suite F Wall, NJ 07719 732.280.5464

onna Kolomeyevskaya, MD, is a fellowship-trained gynecologic oncologist specializing in surgical and medical therapy of women with gynecologic cancers, as well as precancerous disease of the female genital tract and complex benign conditions. A member of Barnabas Health Medical Group, Dr. Kolomeyevskaya treats patients at both Monmouth Medical Center in Long Branch and Community Medical Center in Toms River. As a third-generation physician, Dr. Kolomeyevskaya has a passion for medicine. Fascinated by the complexity of women’s health care issues, she has dedicated herself to a career in gynecologic oncology. After graduating magna cum laude from Boston University, she earned her medical degree at Albany Medical College in New York. Dr. Kolomeyevskaya completed a residency in obstetrics and gynecology at Baylor College of Medicine in Houston, Texas, followed by a gynecologic oncology fellowship at Roswell Park Cancer Institute in Buffalo, New York. Early in her career, she distinguished herself in research and has authored and co-authored numerous scientific

HPV and Cancer: What you need to know HPV (human papillomavirus) is the most common sexually transmitted infection, affecting most sexually active people at some point in their life. The infection is asymptomatic, and one can get infected and re-infected many times throughout one’s life. There are many strains of the HPV virus and it is the “high-risk” forms of HPV that can cause cancers of the cervix, vagina, vulva, oropharynx, anus, penis, and scrotum. Whereas “low-risk” strains of HPV cause genital warts. “We’re not used to thinking of cancer as a sexually transmitted disease,” says Dr. Kolomeyevskaya. “But in the case of cancers caused by HPV, that’s what it is.” The good news is we are better at screening patients: women get co-tested for HPV at the time of their Pap smear. Then, any abnormalities are closely followed and treated, if necessary. Getting vaccinated against HPV before the onset of sexual activity reduces the likelihood of contracting it or developing high-grade precancerous changes or cancer. Dr. Kolomeyevskaya emphasizes safe-sex practices to lessen the chances of transmission of other sexually transmitted diseases (STDs) that also potentiate HPV infection. The body can clear the infection on its own – especially in those who are young and healthy – but people can easily become re-infected, and partners can pass it back and forth.

Early Diagnosis, Prevention The most important step women can take to protect themselves against HPV-related cancers is to have regular, routine visits with their gynecologist. Routine examinations and Pap smears conducted by gynecologists with HPV co-testing have resulted in a dramatic decrease in the incidence of cervical cancers in the United States. Women should be aware of the “contributing factors” that raise their risk of developing HPVrelated cancers. These include smoking, infection with chlamydia or genital herpes, multiple partners (or partners who have had multiple partners, or partners with cervical dysplasia), early onset of sexual activity, etc. People with a suppressed immune system, such as those with

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HIV or organ transplant patients, are at greater risk of HPV infections. HPV vaccines were developed to prevent chronic HPV infection. One of the HPV vaccines approved by the Food and Drug Administration and commonly administered now is called Gardasil 9. The vaccine is recommended for boys and girls at age 11 or 12 – before they become sexually active. Young people can receive the vaccine up to age 26, although it’s less effective once a person has been exposed to HPV. “Parents should talk to their child’s pediatrician about getting the HPV vaccine early – well before the onset of sexual activity,” says Dr. Kolomeyevskaya. “Through early prevention, the younger generation has the opportunity to avoid the types of cancers that my colleagues and I treat every day.” It is important to understand that condoms do not fully protect against STDs, including HPV, and adolescents should also be aware that transmission is also possible during oral sex.

Treatment There is no treatment that eradicates HPV, and the highest regression rates are seen in teenagers and young adults with competent immune system. Patients can be treated for HPV- induced cancers and pre-cancerous conditions of the genital tract and oropharynx, as well as genital warts. In the rapidly advancing field of medicine, it is important for patients to receive state-of-the-art care. “Do not hesitate to ask questions, and discuss with your physician current standards of care and guidelines,” Dr. Kolomeyevskaya advises.

About Barnabas Health Medical Group Barnabas Health Medical Group is a multispecialty group practice comprising highly trained and experienced world class primary and specialty care physicians. Barnabas Health Medical Group physicians provide compassionate and innovative cutting edge care for people at every stage of life at easily accessible facilities conveniently located throughout New Jersey. Backed by the vast continuum of resources throughout RWJBarnabas Health, our dedicated physicians and expertly trained supporting staff continuously strive for clinical excellence. For more information, visit www.BarnabasHealthMedicalGroup.org.

March/April 2017

Senior Facility Advisors

Contact Your Local Oasis Senior Advisor Today!

Connie Roberson Our mission is to positively impact families during a difficult time in their lives. We do this by providing free, personal, and compassionate service to help families find the perfect next step for their loved ones.

As a FREE service, Oasis Senior Advisor Connie Roberson makes finding your mom’s or dad’s next oasis a breeze. She will personally meet with you to discuss your needs on everything from lifestyle to budget. Connie is well versed in amenities, availability, and activities for all types of senior living options. “I have been given an opportunity to embark on a more rewarding career, one where I can focus on my passion for helping others through senior care. I warmly embrace being an Oasis Senior

Living Advisor because it provides the perfect outlet for me to lend my services to families in need of locating a senior living community for a loved one, which in itself can be challenging and overwhelming. In the same way I care for my family, I am dedicated to offering my knowledge and expertise on senior living communities and providing “hands on” service to help families as their loved ones transition to a new season in their lives. I look forward to working with you and your

family as you go through this transition decision process.” Our personalized approach can’t be beat - and it’s FREE! We’ll never send you a generic list of options that hasn’t been qualified and we will not share your information with communities without your consent. Oasis Senior Advisors works with you to find the “right place” - your next oasis. Specializing in Finding Speak With Assisted Living, Memory Care & Connie Roberson Today! Residential Care Homes for Seniors.

Ocean, Monmouth & Mercer LAKEWOOD, NJ Counties 732-675-3140 - Phone 732-438-9179 - Fax croberson@youroasisadvisor.com

Apartment Community

The County Woman Magazine www.TheCountyWoman.com

March/April 2017

Hair Designs & Hair Replacement

Another Step Towards A Healthy Scalp Presenting Head First A scalp health program for common scalp conditions:

Client Review... “I’ve been going to Abstrax for 15 years since I moved to Toms River in 2001. A hairdresser is a personal preference who knows your secrets and stories and holds them forever. Laura has been my hairdresser and friend for 15 years. I trust her completely. I feel at home in their salon and her knowledge and experience make her an amazing choice. She can cut, color and style like no one else ever. I know that whenever I go there she will go above and beyond to give me everything I ask for and make me look gorgeous. Thanks Laura.” - A.M.

Thinning hair or hair loss Dandruff Oily or dry scalp Dry, damaged, or dull hair Chemotherapy or cranial radiation Crusty scaly plaques Itchy scalp After a scalp heath assessment and analysis with a microcamera, we develop a personalized care program that combines salon treatment and home care.

We at Abstrax Hair Designs would love to give you an individualized, amazing look. Call 732-255-1733 to schedule an appointment today. You will not be disappointed. Your time is precious, we will not waste it! Laura Cole, Gerry Hergert, AHLC, Owner, Master Certified, Master Certified, Trichology Specialist Trichology Specialist

2494 Moore Rd. Ste. #1 Toms River, NJ 08753 (In the Stone Hedge Prof. Bldg.)

732.255.1733 www.abstraxhairdesign.com

Appointments are required. Call today for your FREE consultation!

Creating A Look That Is Uniquely You

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March/April 2017

Medical Professionals

Chelation Intravenous (IV) Chelation Therapy Hardening of the arteries is a growing threat to every American. We are currently facing a very real epidemic of this illness—with symptoms ranging from poor circulation in the extremities to kidney disorders and heart disease. It is estimated that 67.7 percent of all the disease-precipitated deaths in this country (heart attack—54.7 percent and stroke–13 percent) are the result of one form or another of hardening of the arteries. A person diagnosed as having atherosclerosis is usually offered very few choices in dealing with the illness. If the blocked arteries are large enough to be operated upon, the victim takes his chances with bypass or “cleanout” surgery. However, if the stricken blood vessels are too small for surgical techniques, then the patient must become resigned to living with this seemingly incurable and progressive disease. Unbeknownst to most people, however, there is a unique medical process that can clean out the arteries and renew blood flow throughout the entire body—without surgery! This exciting process is intravenous chelation therapy. Certain nutrient, or chemical, agents used for the chelation process include vitamin C, lactated Ringer’s solution (which resembles the blood serum in its salt constituents), EDTA (ethylene diamine tetraacetic acid), various weak organic acids, plus other agents such as PTC or Plaquex. By far, the two most frequently used agents in chelation therapy are EDTA and PTC. Scientists have demonstrated that when the EDTA solution is injected into the bloodstream, just one of the beneficial things it does is trigger the breakdown of components of plaque and lock onto, or chelate, heavy metals. Plaque is the internal “corrosion” that commonly clogs the arteries of middle-aged and elderly (and some young) people. EDTA stimulates the processes by which the cellular components of the plaque, such as heavy metals, mucopolysaccharides, calcium, cholesterol, collagen, fibrin, foreign proteins and other debris, release their hold on the internal wall of the arteries. These particles then become a part of the EDTA molecular solution and leave the bloodstream through the kidneys to be finally eliminated in the urine. As this occurs, the hardened arteries become more flexible. The narrowing of their central channel (the lumen) is halted, and the blood flow is unclogged. Moreover, tests reveal another benefit from chelation therapy. EDTA IV injections can help pull calcium from other parts of the body in which it is abnormally deposited, such as in traumatized tendons, inflamed bursae, kidney stones, arthritic joints and strained ligaments. But IV EDTA does not remove calcium from the bones and teeth, where the mineral serves a very useful purpose. Rather, EDTA chelation therapy tends to strengthen the bone by reactivating dormant but healthy bone-forming cells. For this reason, IV EDTA and its associated nutritional oral chelating agents have been useful in treating osteoporosis.

Diagnostic tests taken before and after chelation treatment reveals that impaired circulation is often restored to normal by this medical process. After the clogging material is removed from the human arterial wall, a smooth, clean, and nearly unblocked surface is thought to be left behind. Thanks to chelation and PTC therapy, people with hardening of the arteries and/or free radical pathology can hope to reverse symptoms. But what about the millions of patients suffering with various forms of degenerative disease who don’t know about chelation/PTC therapy who fail even to get the oral chelating advantages of vitamins, minerals, enzymes, amino acids, antioxidants, and other supplemental nutrients? Many sufferers are also denied the option of surgery, for a variety of reasons: lack of funds, no health insurance, just plain ignorance about health matters, an unhealthy lifestyle, a disinterested family doctor or misinformation about the treatment from competing physicians. An estimated 60 percent of all coronary surgeries including bypass, stenting and angioplasty are done unnecessarily as reported by Harvard’s Dr. Grayboys. That is, those having had surgery (bypass, angioplasty or stenting) DON’T LIVE A SINGLE DAY LONGER, THEY HAVE THE SAME QUALITY OF LIFE-ACTIVITY LEVELS ARE UNCHANGED, AND THEY ARE ON THE SAME MEDICATIONS—OR MORE THAN THEY WERE PRIOR TO THE SURGERY! In addition, the anatomical lesions that are addressed with these procedures are not where the pathology lies, which is in the walls of the blood vessels (endothelial layer) not the lumen. Far too often, those who are the sickest and in most need of and could benefit most from these invasive surgeries are denied them in fear of altering statistical results. In other words, if they were to die or have complications from surgery, it would critically alter the results obtained and deter patients from opting for surgery as a treatment for their coronary artery disease. The TACT (Trial to Access Chelation Therapy,) a nationwide medical study, has been completed on the effects of chelation on those with established CAD (coronary artery disease) and proved beneficial. It is unlikely however, because of the monetary business practices of medicine, that chelation therapy will become mainstream in the near future. BUT THIS DOESN’T MEAN THAT YOU CAN’T OR SHOULDN’T CONSIDER IT!!! REMEMBER… When it comes to your health, you do have options and a choice. Best,

Mark

For more information contact Dr. Bartiss at (609) 978-9002 or visit his website at www.icambartissmd.com.

Institute For Complementary & Alternative Medicine 24 Nautilus Drive, Suite 3, Manahawkin, NJ 609-978-9002 504 Hamburg Tpk., Suite 202, Wayne, NJ 973-790-6363 By Appointment Only: 639 Stokes Road, Suite 202, Medford, NJ 609-654-5900 www.ICAMBartissMD.com

Mark James Bartiss, MD is a medical writer, lecturer, and author, and is recognized as a top ten specialist in the field of Bio-Identical Hormone Replacement Therapy (BHRT). He has helped numerous individuals take their lives back and reclaim their health.

REMEMBER... When it comes to your health, you do have options and a choice.

The County Woman Magazine www.TheCountyWoman.com

March/April 2017

Reverse Mortgage Lending

** You Youmust *must Youcontinue must continue continue to to pay pay required required property property taxes, homeowners taxes, homeowners insurance, and maintain insurance, theaccording home andaccording maintain to Federal the home Housing according to Federal Housing to pay required property taxes, homeowners insurance, and maintain the home to Federal Housing Administration Administration Requirements Requirements Administration Requirements

Call Call me me today today and let’s see see a Reverse if Mortgage a Reverse Mortgage is Mortgage right is right for you! Call me today andand let’s seelet’s if a ifReverse is right for for you!you! Barbara Barbara Barbara Sica Sica Sica Director Director of Reverse ofLending Reverse Lending Director of Reverse Lending Mortgage Mortgage Loan Originator Loan Originator Mortgage Loan Originator NMLS # 404007 # 404007 NMLSNMLS # 404007 Office: 732-738-7100 732-738-7100 Ext.466 Ext.466 Office:Office: 732-738-7100 Ext.466 Cell: 732-569-4830 Cell: 732-569-4830 Cell: 732-569-4830 bsica@homebridge.com bsica@homebridge.com bsica@homebridge.com www.HomeBridge.com/BarbaraSica www.HomeBridge.com/BarbaraSica www.HomeBridge.com/BarbaraSica HomeBridge HomeBridge Financial Financial Services, Services, Inc. Inc. Corporate Corporate NMLS(www.nmlsconsumeraccess.org). NMLS ID #6521ID (www.nmlsconsumeraccess.org). #6521 (www.nmlsconsumeraccess.org). 9th 194 Floor, Wood Iselin, NJ Ave 08830. South, New Jersey 9th Floor, Residential Iselin, Mortgage NJ 08830. Lender New License Jersey 9200151. Residential Mortgage Lender License 9200151. HomeBridge Financial Services, Inc. Corporate NMLS ID #6521 194 Wood194 AveWood South,Ave 9thSouth, Floor, Iselin, NJ 08830. New Jersey Residential Mortgage Lender License 9200151. Licensed Licensed Mortgage Mortgage Banker(B500691) (B500691) New - New York State YorkDepartment State Department ofServices. FinancialLicensed Services. of Financial Licensed Services. by Pennsylvania Licensed Department by Pennsylvania of20394. Banking 20394.Department of Banking 20394. Licensed Mortgage BankerBanker (B500691) - New York- State Department of Financial by Pennsylvania Department of Banking

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March/April 2017

Assisted Living

ASSISTED LIVING BRIDGES MEMORY SUPPORT PROGRAM

Spring Oak provides several levels of specialized services to meet each individual’s needs. These programs are specifically tailored and combined to promote the highest level of independence and health. This approach to care focuses on enhancing quality of life through the provision of individualized services in areas of nutrition, health care and recreational activity.

601 N. Main Street Lanoka Harbor, NJ • 609-242-2661

www.springoakforkedriver.com Community

Sunday, March 12th, 2017 The Stone Pony, Asbury Park, NJ

This family friendly event will raise necessary funds to continue the agency’s programs and services that spread knowledge and awareness of epilepsy and improve the quality of life of those living with the condition in New Jersey. The event will welcome hundreds of families, supporters and music lovers to enjoy entertainment while promoting epilepsy awareness.

Tickets may be purchased for $25 at www.efnj.com/purple or via telephone at 800-336-5843 ext119.

The County Woman Magazine www.TheCountyWoman.com

March/April 2017

Financial Management

Leave Your Job, Leave Your Retirement Plan? When you leave a job – whether due to layoff or for any reason – you are often faced with a decision about your 401(k) or other retirement plans. Over time, you may be in the same position as many other employees who have accumulated substantial balances in these employer plans that are designed for tax-advantaged retirement savings. If so, you may find yourself having to make a decision about whether to keep your 401(k) funds with your former employer, roll them over to an IRA, or pay the taxes and cash out. For this reason, it is important that you understand the implications of each option. Some employers offer the opportunity to maintain your retirement account at your former company. On the other hand, by rolling over your funds to an IRA, you can maintain control, manage the funds any way you want, and remain subject to IRA rules alone rather than the limited investment selection – and perhaps restrictive distribution policies – of your former employer. Note, however, that while you are permitted to take loans from your 401(k) plan, this is not possible in an IRA. And depending on the investments used to fund the IRA, charges and expenses could be higher or lower than those you would incur inside your 401(k) plan. At your direction, your employer can transfer your distribution directly to another qualified plan or to a rollover IRA. A rollover occurs when you withdraw cash or other assets from one eligible retirement plan and contribute all or part of it within 60 days to another eligible retirement plan. Under this option, you would direct your plan administrator to make a direct and taxfree transfer of funds from your former employer’s plan to a rollover IRA at a financial institution of your choice. That way, you maintain the tax-deferred status of your retirement account, consolidate all retirement accounts for easier management, and benefit from increased investment flexibility. When you roll over a retirement plan distribution, you generally don’t have to pay tax on it until later when you take cash withdrawals. By rolling over, your funds have the potential to continue to grow tax-deferred. Job changers should resist the temptation to spend down their retirement

savings, whether they are moving to a new job or plan a hiatus from work. When you fail to roll over, you not only pay tax on the amount you receive, but you may, if you are under age 59½, be subject to an additional 10% penalty on the early distribution you receive. Sound financial planning dictates that you would draw on other funds first, leaving retirement plan spending as a last resort. If you are simply moving your IRA from one institution to another and you do not plan to use the funds, you should consider making an IRA transfer and not a rollover. This is a simple direct transfer from IRA to IRA between financial institutions to better manage and grow your retirement assets. When considering rolling over assets from an employer plan to an IRA, factors that should be considered and compared between the employer plan and the IRA include fees and expenses, services offered, investment options, when penalty-free withdrawals are available, treatment of employer stock, when required minimum distribution begins, and protection of assets from creditors & bankruptcy. Investing and maintaining assets in an IRA will generally involve higher costs than those associated with employer-sponsored retirement plans. You should consult with the plan administrator and a professional tax advisor before making any decisions regarding your retirement assets. This article was written by Wells Fargo Advisors Financial Network and provided courtesy of Tony Karpowich, Senior Financial Advisor / Registered Principal in Toms River at 848-200-1170. Investments in securities and insurance products are: NOT FDIC-INSURED/NOT BANK-GUARANTEED/MAY LOSE VALUE. Investment products and services are offered through Wells Fargo Advisors Financial Network, LLC (WFAFN), Member SIPC. Gold Star Wealth Management LLC is a separate entity from WFAFN. © 2013, 2015 Wells Fargo Financial Network, LLC. All rights reserved.

For more information, call 848-200-1170 or visit www.goldstarwealthmanagement.com.

Are you searching for a Financial Advisor? Are you unhappy with your current advisor? Are your accounts receiving the service they deserve? Are you struggling to manage your portfolio on your own? Has your portfolio lived up to your expectations? Experience the Wells Fargo Advisors difference. If you are looking for a Financial Advisor who stands apart from the crowd, come and see what makes us different. We offer comprehensive investment advice, a broad range of investment choices, and dedicated personal service.

Gold Star Wealth Management Tony Karpowich, Senior Financial Advisor Chartered Retirement Planning Counselor 680 Hooper Ave., Bldg. A, Ste. 104, Toms River, NJ 08753 Direct: 848-200-1170 • tony.karpowich@wfafinet.com goldstarwealthmanagement.com Investment and Insurance Products:

NOT FDIC Insured

NO Bank Guarantee

MAY Lose Value

Investment products and services are offered through Wells Fargo Advisors Financial Network, LLC (WFAFN), Member SIPC, a registered broker-dealer and a separate non-bank affiliate of Wells Fargo & Company. © 2013 Wells Fargo Advisors Financial Network, LLC. All rights reserved. 0716-04022 [74034-v5] A1587 (2992702_496580) Gold Star Wealth Management is a separate entity from WFAFN.

The County Woman Magazine www.TheCountyWoman.com

Tony Karpowich

March/April 2017

Health &Wellness

Healthy Bones For A Healthy Spring CALCIUM…

Do not forget about me! Taking calcium—either through diet or supplements—is a little like making deposits into a bone bank account. If you keep a healthy balance of this mineral, your body is able to build and maintain bone, which is a living, ever-changing tissue. Not only does calcium keep bones and teeth Jay Greco, RPh healthy, it also helps with clotting blood, sending signals between nerves, and regulating heart rhythms.1,2 But if you fail to make calcium “deposits,” your body starts to pull calcium out of your bones and “overdraws your account.” Worse than a painful overdraft fee, however, this calcium imbalance can cause porous, weakened bones. This condition is called osteoporosis. In the U.S., it affects 8 million women and 2 million men, resulting in 1.5 million fractures each year.1 How much calcium do you need? It varies, depending on your age. Your preteen or teen needs more. Banking calcium at this stage is really like making an early investment in “retirement.” The National Academy of Sciences recommends: • 1,300 mg/day for children ages 9–18 • 1,000 mg/day for men and women ages 19–50 • 1,200 mg/day for men and women ages 50 or older1,3 Some guidelines suggest 1,500 mg for postmenopausal women who don’t take estrogen.2 That’s because—due to a loss of estrogen at menopause— women start to have bone loss earlier than men.1 If you take calcium supplements, it’s best to divide the dose. Take half in the morning and half at night.2 Let me know if you have questions about different types of calcium. I can also discuss any medications that might

interfere with calcium absorption. And I can give you tips on how to handle any calcium side effects, such as constipation or indigestion. To limit side effects, be sure to take no more than 2,000 mg daily.2 Foods rich in calcium include dairy products, dark leafy greens, dried beans, nuts, and calciumfortified foods, which may include orange juice, cereal, and bread.1,3 Some recent studies suggest that food sources of calcium may be better than supplements. Last year, a study reported on in the American Journal of Clinical Nutrition showed that participants who got most of their calcium from diet had better bone density than those who got most it from supplements.4 It’s too soon to know why, but it might have to do with better absorption or other food compounds that enhance bone health. What else can you do to prevent bone loss as you age? Try weight-bearing exercise, such as walking or running, and get enough vitamin D.3 This vitamin helps your body absorb calcium. To get enough of it, you can spend at least 15 minutes in the sun several times a week.5 You can also take supplements or get food sources of vitamin D—in salmon, tuna, or fortified milk, margarine, or cereal.6 Try to get 800 International Units (IU) daily, but no more than 2,000 IU, which can be toxic.2 Any brand or our store brand is available at JERSEY SHORE PHARMACY

SOURCES 1. Harvard School of Public Health Web site. “Calcium & Milk.” http://www.hsph.harvard.edu/nutritionsource/calcium.html 2. UpToDate Patient Information Web site. “Patient information: Calcium and vitamin D for bone health.” http://patients. uptodate.com/topic.asp?file=endocrin/5283 3. CDC Web site. “Bone Health.” http://www.cdc.gov/nccdphp/ dnpa/nutrition/nutrition_for_everyone/bonehealth/ 4. Science Daily Web site. “Dietary Calcium Is Better Than Supplements At Protecting Bone Health.” http://www. sciencedaily.com/releases/2007/06/070614112433.htm 5. American Dietetic Organization Web site. “Calcium and Vitamin D: Essential Nutrients for Bone Health.” http://www. eatright.org/ada/files Tropicana_Fact_Sheet.pdf 6. Office of Dietary Supplements Web site. “Dietary Supplement Fact Sheet: Vitamin D.” http://dietary-supplements.info.nih.gov/ factsheets/vitamind.asp

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The County Woman Magazine www.TheCountyWoman.com

March/April 2017

Medical Professionals

When Does Forgetting Become An Issue? Is it memory loss or am I just being forgetful? Did I just lose my keys or will I never remember where I put them? Is it OK that I can’t remember how to do basic chores because I’m “getting older”? The first answer brings good news because you are asking these important questions, not someone on your behalf, and, even more important:

there are answers!

When your memory has significantly declined, is poor compared to performance typical for your age but DOES NOT interfere with independent, day-to-day functions, you can be described as having Mild Cognitive Impairment or MCI. Dementia is an advanced deterioration of MCI and means that you no longer are able to independently perform day-today functions. Alzheimer’s Disease or AD is the most common form of dementia, and we know that a proteinbased plaque exists in the brains of these patients at abnormally high levels. We also know that this plaque begins to accumulate and clump together within the brain as early as a decade or more before you may experience any memory loss, impairment or dementia. On a positive note, we are living longer and could prepare to enjoy this new stage of living proactively and productively. Exercise, proper diet and remaining busy,

active and engaged are proven factors that minimize developing symptoms of dementia. But the research, proper diagnosis and treatment options leave much to be desired and are far from where we need these areas developed at this era of science, technology and awareness.

But as we said earlier, there are answers: The Memory Enhancement Center of New Jersey in Eatontown and Caring Heart & Brain Imaging in Manasquan. Dr. Joel Ross is the founder of the Memory Enhancement Center and is an expert in the detection and evaluation of dementia. Dr. Ross is currently directing some of the most advanced research studies sponsored by the leaders in pharmaceutical research for dementia and Alzheimer’s disease. Caring Heart & Brain Imaging is the first imaging facility on the Jersey Shore to offer expert PET imaging of the brain to diagnose dementia and differentiate between

Alzheimer’s disease and other forms of dementia. Caring Heart & Brain Imaging has an impeccable and extensive track record because our interpreting radiologist is an expert in interpreting PET Lorraine Catalano, scans with extensive training CNMT and in interpreting brains affected Imaging Director by dementia. We are the only facility in New Jersey that has performed over 200 AMYVID PET scans to identify the protein plaque associated with Alzheimer’s disease. Caring Heart & Brain Imaging is the only dedicated PET scanner in New Jersey and that means less radiation exposure because there is no CT scan involved. Call for an appointment to meet with Dr. Ross and you will have an intensive consultation, expert scan and a future of knowledge and answers, all provided with absolutely no charge or out-of-pocket costs. Caring Heart & Brain Imaging can even provide transportation if you need a ride!

2414 Highway 35, Manasquan, NJ 08736

732-292-1008

Take charge of your life, your future and the promise of hope for you and your family!

Cardiac Breakthrough Slipping Away At The Jersey Shore… The Jersey Shore has suffered some great losses due to Super Storm Sandy and Nor’easter’s and now, another great loss seems inevitable. Caring Heart & Brain Imaging has made the latest cardiac technology available to residents of the Jersey Shore, who could only benefit from this same testing of they traveled to New York City or Philadelphia. Unfortunately, educating patients and doctors is taking time, and not enough patients are aware that they can ask their family doctor or cardiologist to write a script for the test that will accurately and specifically determine if your heart muscle is receiving adequate blood flow and if that blood flow is evenly distributed. The test to ask for is called a CARDIAC PET PERFUSION study. The Cardiac PET Perfusion study is the newest version of a cardiac stress test. For those people who have had the old test, the most compelling reasons for having the Cardiac PET Perfusion study performed at Caring Heart & Brain Imaging are:

•

Speedier Scan Times – approximately 45 minutes as opposed to 2-1/2 to 4 hours for the old SPECT scan.

•

Patient Exposure to Radiation is cut in half - the Attrius scanner reduces patient exposure to radiation because the agent used in the scan, has a short half-life, so the amount of radiation exposure is substantially less than a chest x-ray.

•

Improved Images – PET provides clearer, more precise 2D images better suited for detection of disease.

•

Avoidance of Unnecessary Procedures – Test images are so accurate, procedures such as stent implantation and even coronary bypass surgery might be avoided.

•

We will provide transportation, if necessary. If you have some, or all of the risk factors mentioned below, you should see your family practice doctor and ask if you would benefit from the Cardiac PET Perfusion study performed at Caring Heart & Brain Imaging.

Don’t let this opportunity to receive the best and most accurate technology for cardiac care slip away from you. Tell your doctor you want only the best. We are happy to answer any questions you or your doctor may have. We can be reached at

732-292-1008. At Caring Heart & Brain Imaging, your heart is in our caring hands!

The County Woman Magazine www.TheCountyWoman.com

March/April 2017

Acupuncture

Acupuncture Helping Arthritis: What You Need To Know Acupuncture is a safe and natural therapy that has been proven to be effective for treatment of acute and chronic pain. It can manage pain and improve range-of-motion throughout the body. In Chinese medicine, arthritis is viewed as a painful obstruction of the body’s Qi (pronounced chee). Qi is the body’s life force or vital energy. Hair-thin needles are inserted into the skin to stimulate the body’s qi. This removes the obstruction and encourages the free flow of qi, therefore, relieving pain and increasing range of motion. Osteoarthritis (OA) is the most common form of arthritis. It is caused by a degeneration of the cartilage within the joints. As the joint weakens, from age or overuse, pain, swelling, and limited range-ofmotion may occur. Overtime, this can advance from a nagging pain or ache to a disabling pain. Treatment consists of using supportive points for the individual’s constitution and points in the area of pain. Because osteoarthritis is degenerative, most cases require some degree of maintenance. Acupuncture helps to manage your pain and improve joint mobility without side effects, reactions or fear of dependency. Rheumatoid Arthritis (RA) is a systemic autoimmune disorder that causes inflammation, pain, swelling and stiffness in joints, usually of the hands. Eventually RA can cause the joints to become deformed.

Acupuncture treatment for RA will have points in the area of pain, but focuses on regulating the immune system and increasing the overall health of the patient. Once again, acupuncture can help manage the condition with less use of medications. Gout is arthritis caused by the deposit of uric acid crystals within the cartilage of joints. It most commonly affects the big toe and knees. This is usually due to a diet rich in protein, or alcohol consumption, but can also be related to genetic factors. The focus of treatment for gout is relieving pain and decreasing swelling. Acupuncture points around the area of pain are the most useful.

Visit www.KoehlerAcupuncture.com

Treatment When initially treating any type of arthritis with acupuncture, consistency is essential. Significant relief can usually be seen within two weeks. Once the condition is controlled, some maintenance may be required to keep the pain from returning. During treatments the needles are retained for 20 – 40 minutes. Most people become very relaxed during treatments and some even fall asleep.

To schedule an appointment at Koehler Acupuncture, call

Conditions Commonly Treated By Acupuncture Allergies & Asthma Anxiety & Depression Arthritis Autoimmune Disorders Back Pain & Sciatica Chronic Fatigue Genitourinary Disorders Gynecological Disorders Headache & Migraine Hypertension Infertility

We Feature Complementary Techniques Moxa Insomnia Tui Na Massage Menopause Cupping Nausea & Digestive Disorders Gua Sha Neuropathy Skin Disorders Electro–Acupuncture Smoking Cessation Strains & Sprains Stress Tendonitis Weight Management Whiplash

732-262-0637

Koehler Acupuncture

or visit

732.262.0637

www.koehleracupuncture.com.

Chinese medicine, arthritis is viewed as a painful obstruction of the body’s Qi (pronounced chee). Qi is the body’s life force or vital energy. Hair-thin needles are inserted into the skin to stimulate the body’s qi. This removes the obstruction and encourages the free flow of qi, therefore, relieving pain and increasing range of motion.

128 Drum Point Road • Brick, NJ 08723 www.koehleracupuncture.com

The County Woman Magazine www.TheCountyWoman.com

March/April 2017

Funeral Planning

DeGraff Lakehurst Funeral Home – Family Owned and Operated The DeGraff family purchased the funeral home in 1979. We are family owned and operated. We serve all faiths, offering personal care with reasonable pricing. We have traditional funeral services and cremation options with a wide variety of memorial services packages tailored to meet the needs of each individual family.

DeGraff Lakehurst Funeral Home

WE WOULD LIKE TO ANSWER SOME FREQUENTLY ASKED QUESTIONS. Q: Can I consent to my own cremation? A: No. New Jersey law requires that your spouse or blood kin in order of relationship consent to cremation. However, if you think your wishes will not be honored you can appoint a Funeral Representative in your will to consent for cremation. This designated person can bypass a spouse or any relative.

119 Union Ave. Lakehurst, NJ 08733 www.DeGraffFuneralHome.com

Q: Do Funeral Homes or Cremation Services have a crematory on site? A: No. New Jersey law does not allow funeral homes or cremation services to perform the actual cremation. Only cemeteries have crematories. The Funeral Director arranges for the cremation and plans any services selected, such as viewing, memorial service, burial of cremains, etc.… The options with cremation are endless.

If you would like additional information on the services we offer or prearrangement options, please do not hesitate to contact our dedicated staff at 732-657-7868 or you may visit our website at www.degrafffuneralhome.com.

Call: 732-657-7868 Family Owned and Operated Serving All Faiths Sherry DeGraff

Manager, NJ Lic. No. 3921

Massage School

Consider A Great New Career In Massage Therapy! The New Jersey School of Massage offers extensive training with a personal touch. We care about YOU, YOUR life, and YOUR future. We prepare YOU to become a confident, professional and licensed massage therapist. New Jersey School of Massage offers state approved 600 hour massage certificate programs. We can try to adjust our program to meet your needs financially and your life schedule. We offer a full time day program, which is

three days a week, completed in 6 - 7 months and a part time evening program, which is two nights a week, completed in 10-12 months.

j We strive to ensure that you will be trained

to enjoy a succesful massage career upon graduation. We not only prepare you in spa massage, sports, medical, prenatal and geriatric but we will also bring in Cheryl Chapman, a cancer massage trainer for over thirty years. She has presented her programs at four AMTA national conventions and authored articles on cancer and mastectomy massage. This cancer massage training is open to existing masaage therapists, in which they can earn 16 CEU credits.

NJSchoolofMassage.com

for more information or to register online call the school at Textbooks, a massage table and a school

T-shirt are included in the tuition.

732-505-0055

The County Woman Magazine www.TheCountyWoman.com

j SINGLE MOM’S OR SEMI-RETIRED

ACTIVE ADULTS. The best thing about this career is that you can have your own private clients and set up your own scedule or work for a spa or treatment center.

Established in 1995, the NJ School of Massage has grown to be one of the preeminent institutions for massage therapy education in the state. NJ School of Massage is privately owned by Alice Marin, LMT, CMA.

Located On: Corner of Route 37 & 166 917-5 North Main Street, Toms River, NJ March/April 2017

Adult Community

It’s Time To Right Size Your Life!

id your last little duckling leave the nest? Are you tired of cleaning that big empty house? Are you over age 55? Tired of those big mortgage payments? It’s time to Right Size your house, your budget and your life! Fountainhead Properties, a 55+ community in beautiful Jackson Township, is just perfect for your next phase of life. Nancylu Mannuccia, the daughter of founder Jim Viviano, 94, and sales diva at Fountainhead, shares Mr. Jim’s story: My parents were living in our family home in western Ocean County when my mom passed away. The house, with six bedrooms and six baths, two living rooms, a big family room, huge country kitchen, palatial dining room, was really too much house for them. We asked Dad (Mr. Jim to all the folks who live here at Fountainhead), when did he want to move. He had geese and other farm animals so that kept him occupied and enjoying the big property, but the housework and yard work were just too much for him. Last spring, he said, “Nancy, it’s time to right size my life. Do you have any available homes for sale at Fountainhead? I’m ready to make a move.” Of course, there are a few used homes at Fountainhead, but I had just the right home in mind for Mr. Jim. A beautiful, brand new 1040-sq-ft home with two bedrooms, two baths, living room, kitchen and laundry room. Just the right size. Energy efficient, Mr. Jim was amazed how inexpensive his electric bill was for his first hot summer. In the winter months, keeping his home a little warmer than most would, he again was amazed at how low his gas bills were. “Who needs Senior Benefits,” said Mr. Jim. Fountainhead Properties started out as a lovely rolling parcel of land bounded by a shallow bubbling brook and a dream of a manufactured home community built to look and feel like every other residential community – satisfying what everyone wants: a place of their own with privacy, natural beauty to enjoy and a quality home where you can enjoy the beginning of the best years of your life. This community is our life. In one of the pictures below, you can see our founders, Jim and Tom, the two who did the work practically by hand and supervising every square foot of every facet of construction, enjoying a family holiday together. Without their vision and hard work, we would not be here at all. Fountainhead Properties is a very personal project, and everyone who lives here is very important to us. To show our appreciation, we build community ties by hosting

various events throughout the year. New one, two and three bedroom homes at Fountainhead differ from older homes in several ways: today’s foundation is even more substantial than it was 10 years ago; beefier I-beams reinforce internal skeletal construction for decades to come; major-brand windows and doors make spring cleaning a flash; your choice of appliances offers home buyers just what you are looking for. Our homes are built for life. Every step of construction is monitored by a state-licensed professional and will stay safe and affordable for longer than you will own it. That’s one of the factory-built quality differences. Samples of décor, carpets, counters, appliances and on-line tools help you to design and see exactly what your new home will look like. Fountainhead Properties, in northern Ocean County, offers the advantages of convenient access to the north/ south major highways. Our excellent location is just 2 miles from I-195 exit 22 for fast access to the Parkway or Turnpike. Jackson, the third largest township in NJ, is so much larger and visually diverse, from rural to suburban to metro-suburban. Jackson offers parks, recreation for all ages (including Six Flags), senior services, transportation, shopping (Jackson Premium Outlets) and community events. It is 8 miles to downtown Freehold, Point Pleasant/Asbury is a fast 20 miles. Jackson has everything and we are in the heart of it. At Fountainhead Properties our neighbors are constantly telling us how good it is to live here. How easy it was to Right Size with the abundance of floorplans to choose from. Pricing for these amazing homes ranging from 1,000 to 1,300 square feet has never been better. The fact that most of our homeowners stay an average of 15 years is evidence that Fountainhead Properties is a community that you would want to live in. We have more homes to sell, more lots to build and a long future together. Fountainhead Properties, “The Beginning of the Best Years of Your Life.” Call us at 732-928-3100 or come in for a visit.

The County Woman Magazine www.TheCountyWoman.com

Fountainhead

1 Rose Drive • Jackson, NJ 08527 For directions call 732-928-3100 or visit our website njfountainheadhomes.com.

You Luv’ Em, We Luv’ Em

Resident Testimonials: 1

“Very happy!! A dream come true Love my new home, quiet yet friendly. Thank you to Nancy and all Fountainhead family for all their help and kindness, they treat you like family.” - Karen C.

“Love, love, love living here. When I drive into the community I feel like I have arrived in my own little “MAYBERRY”. It’s friendly, quiet and peaceful. It’s the best decision I ever made to retire here. Oh, and my husband loves it too!!” - Linda D.

March/April 2017

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Ways To Grow Your Linked-In Connections

Pearls of Wisdom Media LLC

personal and business uses, LinkedIn is a social network built strictly for business. 5HJLVWHU RQOLQH DW ZZZ FVFMHUVH\VKRUH RUJ )RU PRUH LQIRUPDWLRQ SOHDVH FDOO As you build your network, itâ&#x20AC;&#x2122;s important to know the correct etiquette. 1. Your LinkedIn profile photo should be your best professional headshot, with a smile. You only get one chance to make a first impression. 2. Avoid repeating keywords - optimize your profile with relevant keywords. Choose 3 or 4 top keywords you want to be associated with. 3. Personalize each LinkedIn Connection request. The default connection request message can send the wrong message. You want the connection to feel they warrant a personalized message. 4. Donâ&#x20AC;&#x2122;t be afraid to ask for endorsements from people who know your work. In turn, endorse the people you are connected with as well. 5. Unlike endorsements, recommendations are a personal reference and reflect on both parties. If you accept a recommendation from someone with a poor reputation it shows on your profile and links back to them.

6. Remember to protect your connections contact information. Do not allow others to see email addresses. 7. Be active on LinkedIn. Update on a regular basis. 8. Use the â&#x20AC;&#x153;Alumniâ&#x20AC;? search feature to find connections from your high school or college. 9. Participate in group discussions. 10. Display your contact information on your profile. 11. Share insights, news and articles that are relevant to your niche and connections. 12. Instead of just posting to your blog, get your connections to engage with you by asking a question. 13. Invite co-workers from past and present companies. 14. Invite business associates by using your outlook address book.

Happy Connecting!!!

Social Media For Your Business - Donâ&#x20AC;&#x2122;t have the time? Let Pearls of Wisdom take over, call Jackie at 732-610-1567!

Jackie Berman, Pearls of Wisdom Media

Jackie Berman 732.610.1567 PearlsOfWisdomMedia@gmail.com www.twitter.com/jackieberman Social Media â&#x20AC;&#x201C;Donâ&#x20AC;&#x2122;t have the time? Let Pearls of Wisdom take over.

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www.TheCountyWoman.com The County Woman Magazine The County Woman Magazine www.TheCountyWoman.com

May/June 2014 March/April 2017

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100 Women Campaign Sets Bars At Ocean County College In 2015, women from across Ocean County came together to help launch the Ocean County College Foundation’s 100 Women Campaign! Nearly two years later, this exciting campaign has grown to include more than just 100 women, but has helped more than 50 young women blossom in both their academics and personal lives. According to Heather Barberi, Executive Director of the Ocean County College Foundation, the mission of the “100 Women Campaign” is to bring together dynamic, innovative, and accomplished women who will support each other’s life and career goals, share their insights and experiences with students, and encourage education through Ocean County College. “In 2015, it took less than six months for the Campaign to bring together over 100 incredible women in the community who are passionate about education and giving back,” Barberi said. “The Ocean County College Foundation is thrilled that the 100 Women Campaign had so much success since its launch,” she explained. “Over one hundred incredible community leaders were recruited, nearly $15,000 in direct scholarship support was provided to OCC students, and over 50 students participated in the mentoring program. We are ecstatic with the results, and can’t wait to build on the program as we move forward.” In the coming years, the goal of the “100 Women Campaign” will be to raise its first $50,000 in order to retain and reward talented students at Ocean County College through scholarship support. Additionally, these students will be mentored throughout their tenure at Ocean County College. “This type of support is known to have a tremendous impact on the lives of students, creating a positive, crucial difference in ensuring their future success,” Barberi continued. The “100 Women Campaign” also seeks to provide an avenue for connections to be made among all the members, and networking events will take place throughout the year. The group recently volunteered at the local Salvation Army’s Holiday Toy Shop, and there are four upcoming activities planned for early 2017. Barberi explained, “The passion and excitement surrounding this campaign from the start has been amazing and we are looking forward to great things in the future!”

The County Woman Magazine www.TheCountyWoman.com

Dynamic Women, Empowering Students, Inspiring Each Other The 100 Women Campaign’s mission is an endeavor by the Ocean County College Foundation to bring together dynamic, innovative, and accomplished Ocean County women who will support each other’s life and career goals, share their insights and experiences, and encourage education through Ocean County College.

Support the Campaign

Learn more about how you can become a member of the 100 Women Campaign and/or provide support.

Apply for a Scholarship

Learn more about 100 Women Campaign scholarship opportunities, how to apply, and how to take part in the mentoring program. Visit us online or call the OCC Foundation Office today!

www.ocean.edu/100women

For information on the “100 Women Campaign,” visit www.ocean.edu/100women, or call Heather Barberi, Executive Director of the Ocean County College Foundation, at 732-255-0400, ext. 2534. March/April 2017

Women Of Ocean County

Kathleen Dotoli, Esq., Workers’ Compensation & Social Security Disability Lawyer

Ms. Dotoli is a licensed NJ attorney and has been practicing law and protecting workers’ rights for over 20 years. She is the co-chair of the Ocean County Bar Association’s Worker’s Compensation Committee and a member of the NJ State Bar Association’s Worker’s Compensation Executive Committee. Ms. Dotoli has received recognition from the American Institute of Legal Counsel for “ 10 Best Attorneys for Social Security and Disability Law Division for Client Satisfaction” in 2016. Ms. Dotoli also completed ten years of training with the Justice James Coleman Workers’ Compensation Inns of Court. Additionally, Ms. Dotoli is a Board Member of the American Red Cross, South Jersey Division and is a Member of the Paralegal Advisory Committee of Ocean County College. One of her proudest achievements is being a member of the NJ Bar Foundation’s Vincent Apruzzese Mock Trial Committee. This is the committee that creates the challenging statewide mock trial program for high school students statewide. Ms. Dotoli holds several lectures each year for the public to learn more about Workers’ Compensation and Social Security Disability benefits. Ms. Dotoli lives and maintains her law practice in Ocean County, stating, “This is where my heart is and where I was meant to enjoy life, practice law, and help others.”

For more information please call, 732-228-7534 or visit www.jerseyshoreworkerscomp.com. Photo by Tracy Harman Photography

Barbara Sica, Director of Reverse Lending, Homebridge Financial Born and raised in Ocean County, Barbara Sica has been a trusted source in the local mortgage and real estate community for 30 years. As HomeBridge’s Director of Reverse Lending, not only has Barbara helped thousands of local residents finance their own homes, she has also assisted countless New Jersey seniors maintain their quality of life by explaining to them how to utilize reverse mortgages for their own benefit. Modern reverse mortgages are not the deceptive loans many thought them to be decades ago. Today, reverse mortgages allow seniors to leverage the equity in their home so they can live the life they’ve become accustomed to, in addition to financing unplanned medical expenses, vacation travel, as well as for other things of interest to themselves and their families. Barbara considers her approach in the mortgage industry “old school” and takes pride in the information sessions she provides potential customers, as well as being there for them every step of the way during these incredibly important financial transactions. HomeBridge itself is one of the faster growing, mortgage specific lenders in the country, licensed in 49 states, as well as Washington, D.C.

For more information or to schedule an appointment call 732-569-4830 or visit www.homebridge.com/barbarasica.com.

Judy Kerlin, Orthopedic Nurse Practitioner, Advocare Stafford Orthopedics Judy Kerlin, APN, is currently employed at Advocare Stafford Orthopedics as an orthopedic nurse practitioner. Originally from Philadelphia, PA, she now resides in Ship Bottom, NJ. She has worked in this area for over 40 years. Prior to returning to school to obtain advanced degrees, she worked as a registered nurse at Southern Ocean Medical Center. After graduation, she became board certified and has worked as an Orthopedic Advanced Practice Nurse for the past 20 years. Her scope of practice includes caring for patients with musculoskeletal (muscle, bone, joint) complaints. Judy has office hours on Monday and Wednesday and can treat all orthopedic complaints, including new injuries and chronic problems such as arthritis. With her varied experiences and caring demeanor, you will be sure to receive the best care from her.

For more information please call 609-597-6092 or visit www.advocarestaffordortho.com. Photo by Tracy Harman Photography

Lori Heuberger, DPT, Physical Therapist, All-Care Physical Therapy Center

Lori Heuberger works at All-Care Physical Therapy Center’s Barnegat location as an outpatient physical therapist. Lori earned her Bachelors of Science degree in Kinesiology with a concentration in Exercise Science from James Madison University in 2010. Lori then attended Seton Hall University where she received a Doctorate of Physical Therapy in 2015. While at Seton Hall, Lori and three of her classmates conducted extensive research on gait patterns and deviations. This research was later accepted to and presented at the National Combined Sections Meeting in 2015. Lori has completed clinical rotations in areas of outpatient orthopedic, acute rehabilitation and subacute skilled nursing. She has worked with and treated a wide range of diagnoses and patient populations including amputations, cerebral vascular accidents, Parkinson’s, joint replacements, arthritis and various orthopedic post-surgical. Lori is passionate about physical therapy and prides herself on providing patient-first care. She believes each of her patients’ plans of care should be tailored to fit the individual and their personal goals.

For more information about physical therapy at All-Care please visit their website at www.allcareptc.com or call 1-855-3ALLCARE. Photo by Tracy Harman Photography

The County Woman Magazine www.TheCountyWoman.com

March/April 2017

Theatre & Entertainment

“GRIPPING ENTERTAINMENT! SIMPLY SUPERB. Playwright Jason Odell Williams is a postmodern Clifford Odets.” – Los Angeles Times

“POWERFUL, HUMOROUS, & HIGHLY CONTEMPORARY.” – Huffington Post

Top Ten 2016

L.A. Theatre Productions

New World Stages, 340 W 50th St (btwn 8th & 9th Aves.) - Telecharge.com 212-239-6200 - ChurchAndStateThePlay.com

The County Woman Magazine www.TheCountyWoman.com

March/April 2017

Theatre & Entertainment

Previews Begin April 4

A NEW PLAY BY

PAULA VOGEL DIRECTED BY

REBECCA TAICHMAN A provocative new play with music about a moment of great change in American history and a group of passionate actors who risked everything for their art

“A SUPERBLY REALIZED,

REMARKABLY POWERFUL NEW PLAY.” - THE NEW YORK TIMES

IndecentBroadway.com

CORT THEATRE 138 W 48th St, New York

Telecharge.com / 212-239-6200

The County Woman Magazine www.TheCountyWoman.com

Groups of 10+ call 866-302-0995

March/April 2017

Community

FRIDAY, MARCH 31, 2017 6:00 p.m. $165 per ticket Cocktail Attire Casino Night

Eagle Oaks Country Club 20 Shore Oaks Drive Farmingdale, NJ LIGHTS. CAMERA. CURE!

We’re rolling out the red carpet with a new theme, new location, and the same great experience at the American Cancer Society’s Ninth Annual Tides of Change Gala, the premier fundraising event in the Jersey Shore! Shake, rattle, and roll through a splendid evening of cocktails, dinner, dancing, premier auction items, and casino games for luxurious prizes, all while raising funds to help finish the fight against cancer.

PURCHASE YOUR TICKETS TODAY!! TidesOfChangeGala.org

For more information, please contact Lacey LaManna: Lacey.LaManna@cancer.org 732-951-6344

Connect with us on Facebook!

The County Woman Magazine www.TheCountyWoman.com

732-297-9043 facebook.com/TidesofChangeGala March/April 2017

Community

March Is Red Cross Month The American Red Cross sets aside the month of March as Red Cross Month, a time to celebrate the every day heroes who help their neighbors when they need it most. These heroes are the Red Cross volunteers, blood donors and financial contributors who make the work of the Red Cross possible. On Saturday, March 18, the Red Cross will recognize the incredible impact three local honorees have made in the community during its annual Red, White and Bling gala. Honorees include the Bonfiglio family of Tommy’s Tavern and Tap and Allyson Gilbert, both of whom are recipients of the Clara Barton Community Humanitarian Award, and HealthSouth Rehabilitation Hospitals of Tinton Falls and Toms River, recipient of the Clara Barton Corporate Humanitarian Award.

Clara Barton Community Humanitarian Award The Bonfiglio Family

Longtime supporters of the Red Cross, the Bonfiglio family is passionate about helping serve the communities of Monmouth and Ocean counties. To help ensure lifesaving blood is available to patients in need, Tommy and Yvette Bonfiglio have hosted numerous successful blood drives. Leading by example, Yvette Bonfiglio has rolled up her sleeve to donate blood during several of their drives. The Bonfiglio family is also an avid supporter of disaster relief, donating their time and resources to help the Red Cross be ready to respond to help families devastated by disasters big and small.

Allyson Gilbert

Since joining the American Red Cross Jersey Coast Board of Directors six years ago, Allyson Gilbert of Shrewsbury has been a devoted ambassador of the Red Cross mission. During her three-year tenure as chair of the Board of Directors Gilbert has created eight committees that, under her leadership, focus on helping to achieve the organization’s short- and long-term mission-driven goals. Gilbert has also served on a number of special events committees including the Jersey Coast Golf and Tennis Tournament.

a proud financial supporter, HealthSouth Rehabilitation Hospitals of Tinton Falls and Toms River employees have a longstanding history of serving on the Red Cross Board of Directors and special event committees and have welcomed Red Cross representatives to serve on its Community Advisory Committees. In alignment with their mission of helping patients restore strength and resume activities of daily living, HealthSouth Rehabilitation Hospitals of Tinton Falls and Toms River has hosted numerous Red Cross blood drives at both of its locations to help ensure lifesaving blood products are available for patients in need. Red, White and Bling gala guests will enjoy an evening of delicious cocktails and cuisine, live music, dancing and a fabulous auction. Proceeds from the Red, White and Bling gala will benefit Red Cross programs and services, including disaster relief for families affected by local disasters such as home fires. Last year, the American Red Cross New Jersey Region responded to more than 760 local disasters, mostly home fires, to provide comfort and emergency assistance for temporary lodging, food and clothing as needed to more than 1,800 families. Red, White and Bling Committee Chairs Walter Hopkin and John Weiss, along with the Red Cross, are thankful for the support of sponsors including Sapphire Sponsor HealthSouth Rehabilitation Hospitals of Tinton Falls and Toms River; Emerald Sponsors Alston & Bird and Meridian Health; Garnet Sponsors New Jersey Natural Gas, Monmouth Medical Center/RWJ Barnabas Health and Tommy’s Tavern and Tap; Kick-Off Party Sponsor Pine Belt Chevrolet, and Entertainment Sponsor The County Woman.

Power of the Purse

Power of the Purse is a unique “Girls Night Out” event filled with food, friends, networking and shopping. Join us as we hold a silent auction featuring more than 60 fabulous designer bags, including one-of-a-kind creations from students of the Fashion Department at Rowan College at Burlington County. Guests will also enjoy music, dancing, beauty treatments, photo opportunities, raffles and fantastic shopping from local boutiques. Proceeds will help support American Red Cross programs and services.

Clara Barton Corporate Humanitarian Award HealthSouth Rehabilitation Hospitals of Tinton Falls and Toms River

For more than 15 years, HealthSouth Rehabilitation Hospitals of Tinton Falls and Toms River has lent its support to help ensure Red Cross programs and services were available to its community in times of need. In additional to being

Tickets, sponsorships and advertising opportunities to support Red, White and Bling and Power of the Purse are available at redcross.org/NJ or by contacting Aimee Alven at aimee.alven@redcross.org or (609) 951-2118.

The County Woman Magazine www.TheCountyWoman.com

March/April 2017

Community

CASA Celebrates A Decade Of Providing Child Advocacy For Children In The Foster Care System Written By: Vicki Weiss, Executive Director What is CASA of Ocean County? CASA of Ocean County is a non-profit organization that exists to recruit, train and supervise every day-concerned citizen to serve as a child’s voice in court. A CASA Volunteer is a compassionate caring adult that remains in the child’s life until the child has a safe and permanent home. 10 Year Anniversary for CASA of Ocean County Help CASA celebrate its vision to provide a CASA Volunteer to every child in foster care that needs one by volunteering as a Court Appointed Special Advocate. There are over 750 victims of abuse and neglect living in out of home placement in Ocean County. By no fault of their own, innocent children from our community have experienced physical/ and or sexual abuse, neglect, witnessed domestic violence, live in extreme poverty and have parents that are struggling with addiction or mental health issues. Children, from ages ranging from birth to 21, are appointed to the CASA office so we may provide them with a CASA Volunteer of their own. The CASA Volunteer ensures the child’s emotional and physical needs are being met while they live in foster care. What do you need to do to become a CASA Volunteer? Besides patience and a giving heart for children,

the CASA Volunteer needs time to donate to be the one person that the children can count and rely on. CASA provides a 30-hour training class for the volunteers to teach them how to become child’s rights advocates in a very complicated court system. A CASA will undergo a background check, visit the child once a month, prepare court reports and attend hearings, and participate in on going training activities. As a Judicial Volunteers they assist the court by visiting foster homes, day care providers, schools, medical providers, and will inform the Judge in a court report. The volunteer will make recommendations to the court so the Children in Court Judge can make the best decisions for the best interest of the children. What does advocacy include? Every child’s situation is different but here are examples of how a CASA can change a life of a child: • Serve as a voice in the courtroom to keep children from being moved from foster home to foster home. • Request the child’s right to have parent, sibling, and family visitations. • Visit schools and ensure the foster child is receiving a quality education. • Assist with clothing and basic need issues. • Recommend annual health visits and therapy. • Monitor a parent’s court order for rehabilitation and help the child from lingering in foster care.

•

Advocate for the adoption, reunification and Kinship Guardianship so a child will have the safe and forever home that they deserve. How can you receive more information? The CASA office hosts monthly Informational Sessions and in person interviews to provide volunteers with answers to all their questions. Visit Our More information can be found on Website Fo r CASA website and volunteer applications E v e n t are available to download at s! www.casaofoceancounty.org. CASA is actively seeking volunteers to become advocates and serve on the Fundraising Committee Members.

Want an excuse to dress down for the day? Now you have one! Donate $5.00 to CASA for Donate $5 CASA County for Children Children ofto Ocean and of Ocean County and can you can wear jeans toyou work on wear jeans to work on any Friday any Friday during the during the month of April 2017. month of April 2016.

For more information, contact:

Vicki Weiss email Vicki@casaofoceancounty.org April is Child Abuse Awareness Month Your company, law firm, day care, school, and/or small business can join this fundraiser to help raise awareness and fundraise to ensure every foster child in Ocean County has a CASA Volunteer of their own. For more information, visit us at www.CasaofOceanCounty.org

www.casaofoceancounty.org 732-797-0590

MARCH 19TH FROM 2-6 PM AT FARRELL’S RESTAURANT AND PUB IN POINT PLEASANT $25 PER PERSON

The County Woman Magazine www.TheCountyWoman.com

March/April 2017

Theatre & Entertainment

T H E STO RY O F E IG H T WO ME N W H O K E PT T H E FA IT H .

THE

WO M E N OF PA D I L L A

BY TON Y ME N E SE S D I R E CTE D BY KE N RUS SC HMO L L

APRIL 8 – 30

TICKETS AT 732.345.1400 ♦ TWORIVERTHEATER.ORG ♦ 21 BRIDGE AVENUE IN RED BANK, NJ

The County Woman Magazine www.TheCountyWoman.com

March/April 2017

Community

OCEAN COUNTY LIBRARY Visit www.theoceancountylibrary.org for information about other great programs and library resources

Exp

lore the

e r u t u F d n a t n e Past, Pres BRICK BRANCH

Wednesday, March 15 at 7 pm Long Beach Island Branch Monday, March 27 at 7 pm

Golda Meir: A Life of Purpose

This theatrical monologue written and performed by Rene Goodwin, focuses on Golda, not just as a rising political star and soonto-be prime minister of Israel, but Golda the woman. She was a daughter, sister, mother, and wife – with all the joys and heartbreak of playing each interlocking role.

LITTLE EGG HARBOR BRANCH Wednesday, March 15 at 7 pm

The Women of Country with Elaine and the Cimarron Sky Band

A great evening of live classic country music as Elaine and the Cimarron Sky Band perform the songs of Loretta Lynn, Dolly Parton, Patsy Cline, Emmylou Harris and other legendary stars.

PLUMSTED BRANCH

Friday, March 24 at 3:30 pm

Annie Oakley: Aim for a High Mark

American Historical Theatre actress Kim Hanley will portray Annie Oakley, an exhibition shooter who competed in a sport dominated by men. This program is funded by the Horizons Speakers Bureau of the New Jersey Council for the Humanities, a state partner of the National Endowment for the Humanities.

TOMS RIVER BRANCH

Saturday, April 22 at 6 pm

OCL Student FilmFest!

High school filmmakers can enter to see their film viewed on the big screen. Submit a video or film by Friday, March 24. The festival will feature a red carpet, awards and refreshments. More information is available at www.theoceancountylibrary.org/filmfest and all 21 library locations. Lakewood, Jackson, Island Heights, Beachwood, Waretown, Stafford, Little Egg Harbor and Tuckerton Friday, March 24 and Saturday, March 25.

New Jersey Makers Day

The Jackson Branch has a packed schedule of DIY “Make It!” activities for kids, teens and adults, such as Cheerio Bird Feeder crafts, an Aromatherapy heating pads activity, Salty Sand Art, Kid Community Coloring, “Let’s Build the Largest,” LED Fun with DIY squishy circuits, mini light sabers, and LED throwies. NJ Makers Day programs are free and open to the public but some require registration. For more information, call the branch or visit the library website www.theoceancountylibrary.org.

TOMS RIVER BRANCH

Saturday, April 1 at 10 am - 4 pm

Autism Resources Fair

Families and caregivers can meet over 30 organizations, practices, and Autism experts. Keynote speakers include Gary Weitzen, Executive Director of POAC Autism Services and Eileen Shaklee, author of the blog “Autism with a Side of Fries.” Enjoy children’s activities, Mr. Scott the Music Man and sensory storytimes. Sponsored by Ocean County Library’s Cultural Awareness Team and POAC Autism Services.

The County Woman Magazine www.TheCountyWoman.com

March/April 2017

Medical Professionals

The County Woman Magazine www.TheCountyWoman.com

March/April 2017

WE’RE HERE

SO YOU CAN

Life’s simple pleasures are not so simple when you suffer from neck or back pain. At Atlantic NeuroSurgical Specialists (ANS), we make them easier for you to enjoy.

The largest neurosurgical practice in New Jersey and one of the most advanced in the country, we treat spinal issues with innovative therapies that don’t necessarily involve surgery. And, when it’s needed – and possible – we use pioneering minimally invasive treatment strategies.

Get back to what you love doing the most. Contact us at www.ansdocs.com or call 732.455.8225.

run golf dance garden play walk enjoy

Neptune | Morristown | Jefferson | Summit | Teaneck

OCW BACK COVER We’re Here… So You Can RUN #250_R4.indd 2

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2/15/17 12:51 PM

March/April 2017